WASHINGTON — How is it that a few doctors take in millions of dollars from Medicare?
Explanations for Wednesday’s eye-popping numbers from Medicare’s massive claims database ranged from straightforward to what the government considers suspicious, as the medical world confronted a new era of scrutiny.
The long-sought release of Medicare data revealed just how much the program paid individual doctors in 2012. An analysis by The Associated Press found that a tiny group, 344 out of more than 825,000 doctors, received $3 million or more apiece — a threshold that raises eyebrows for the government’s own investigators. Overall, about 2 percent of clinicians accounted for one-fourth of payments.
Deputy administrator Jon Blum said Wednesday that Medicare will now take a closer look at doctors whose payments exceed certain levels. Blum told reporters he did not want to reveal those thresholds because that would tip off people trying to game the system.
Blum said an even bigger goal in making the data public is to help find more cost-effective, quality-conscious pathways for America’s $2.8-trillion health care system. Medicare, a $600-billion program for seniors and disabled people, sets the tone.
In rural Hastings, Neb., ophthalmologist John Welch said the vast majority of the $9.5 million that Medicare paid him went straight from his practice to drug companies, for expensive medications used to treat patients with macular degeneration.
“I’m concerned that people in the community will get the wrong idea of how these billings reflect doctors’ income,” said Welch, who ranked No. 8 in Medicare payments. “Instead of blaming us, they need to have a serious discussion with the drug companies about lowering the cost of these drugs. If they want us to stop taking care of patients, then tell us that — but don’t blame us for costs.”
The American Medical Association has expressed concern that laypersons may draw wrong conclusions from seeing large dollar signs next to a physician’s name.
But another case, from Michigan, suggests that following the money can turn up potential problems. Detroit-area cancer doctor Farid Fata, among the top billers, is awaiting trial on federal charges that he intentionally misdiagnosed patients and ordered unnecessary treatments. Fata says he’s innocent.
The overall top-paid doctor in 2012 was Florida ophthalmologist Salomon Melgen, who received $20.8 million.
Last year, Melgen was in the news after revelations that Sen. Robert Menendez, D-N.J., had used the doctor’s personal jet for trips to the Dominican Republic. Menendez’s relationship with Melgen prompted Senate Ethics Committee and Justice Department investigations. The senator reimbursed the doctor more than $70,000 for plane trips.
Early last year the FBI conducted a search of Melgen’s West Palm Beach offices. Agents carted away materials, but law enforcement officials have refused to say why. Authorities declined to comment on the open investigation.
Melgen’s lawyer said the doctor’s billing conformed with Medicare rules and is a reflection of high drug costs.