Medicare Paid Doctor $21M in Single Year
He's one of 344 who received at least $3M in 2012
By Rob Quinn, Newser Staff
Posted Apr 9, 2014 3:15 AM CDT
Medicare gave Dr. Salomon Melgen 20.8 million reasons to smile in 2012.   (AP Photo/Miami Dade College, Phil Roche, File)

(Newser) – Medicare's books have been opened up after an extended legal battle, and perhaps the most startling detail is that a single doctor was reimbursed nearly $21 million in 2012 alone. Florida ophthalmologist Salomon Melgen was one of 344 physicians who raked in more than $3 million from Medicare that year, accounting for nearly $1.5 billion of the $64 billion paid to individual doctors in 2012, an AP analysis of the data finds. (Lab and ambulance services bump the total Medicare paid out to $77 billion.) The highest paid 2% of doctors accounted for nearly a quarter of total Medicare payments, and in the $3 million-plus club, the category leader was ophthalmologists; 151 of them accounted for nearly $658 million in Medicare payments.

The physician data released by the Obama administration had been off-limits to the public for decades and will be pored over in the weeks to come by researchers, fraud investigators, insurers, and consumers, reports the New York Times. Groups who pushed for the release of the database argue that it will speed up payment delivery reform and help guide patients to doctors who deliver quality care, but the American Medical Association, which opposed the release, warns that "releasing the data without context will likely lead to inaccuracies, misinterpretations, false conclusions, and other unintended consequences." The Washington Post sounds a few notes of caution, pointing out that some high-billing doctors' totals could be explained by their efficiency or heavy number of Medicare patients; further, some specialized procedures incur significant overhead, meaning a chunk of the money could end up in the hands of drug or medical device companies.

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Showing 3 of 70 comments
PoppyRockz
Apr 10, 2014 11:48 PM CDT
The government does nothing well. Anyone who thinks we should trust the govt with more power is insane.
TheJman
Apr 10, 2014 9:33 PM CDT
Not suprising he's a big donor to the Democratic party...do you all see where obamacare is going? http://www.nytimes.com/2014/04/10/business/doctor-with-big-medicare-billings-is-no-stranger-to-scrutiny.html?_r=0g?
Chris Farley
Apr 10, 2014 7:23 AM CDT
And this is exactly what happens with huge federal programs or "saving the poor programs" Yeah they help, but they also seem to funnel the funds to a small portion of people. Shoot Big Agg and several banks are making huge funds from SNAP. the rest are using it to survive.