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Connect Your Medicare

Dr. Robert Specialist

Orthopedic Surgery

MD

300 Bone Blvd, Denver, CO 80209

(303) 555-4444

Enhanced Provider Data
Professional Services
Service Date
Jan 31, 2026
Claim ID
EOB-2024-EXCESS
Provider NPI
Not Available
Status
Approved

Financial Breakdown

Coverage Details

Covered Service
Part B
No Deductible Required

This service is covered under your insurance plan. No deductible was applied to this claim. Medicare Coinsurance of $40.00 applies.

Cost Breakdown

Provider Charged:$230.00
Medicare Allowed:$200.00
Medicare Paid:$160.00
Medicare Coinsurance:$40.00
Other Patient Costs:$30.00
Your Responsibility:$70.00

Coverage Insights

Processing Details:
  • Provider is "Non-Participating" and does not accept assignment
  • Excess charges of 15% applied above the Medicare approved amount

💡 These insights are derived from Medicare's adjudication data to help explain your coverage details.

AI Summary

Specialist visit with non-participating provider resulting in excess charges. The provider charged 15% above the Medicare approved amount, which is your responsibility. While the claim was approved, you paid $30.00 more than you would have with a participating provider.

AI analysis is for informational purposes only and should not replace professional medical or financial advice.

Risk Flags

High Cost
Billing Error Detected
Potential Fraud
Duplicate Service
Missing Info

Insights

Ai Summary
You visited a doctor who does not "accept assignment," meaning they haven't agreed to accept the Medicare-approved amount as full payment. As a result, you were charged an additional 15% "excess charge" ($30.00). Standard 20% coinsurance ($40.00) also applied. Seeing a participating provider would have saved you $30.00.
Recommendations
  • Check if your Medigap policy covers Part B excess charges (Plans F and G do).
  • For future visits, ask if the provider accepts Medicare assignment.
  • Search for participating Orthopedic Surgeons in your area to save on costs.
Related Articles
  • {"title":"Lower Your Costs: Assignment","url":"https://www.medicare.gov/your-medicare-costs/part-a-costs/lower-costs-assignment"}
  • {"title":"Medigap Costs and Coverage","url":"https://www.medicare.gov/supplements-other-insurance/how-medigap-works"}

Tags

high-costexcess-charges
M17.11(ICD_10)AI Enhanced
Primary

Unilateral primary osteoarthritis, right knee

Primary osteoarthritis of the right knee. This is a degenerative joint disease causing pain, stiffness, and reduced motion.

Specialty
Orthopedics
Category
Musculoskeletal
Clinical Notes
Progressive condition. Treatment options include medication, therapy, and eventually joint replacement.

Present on admission: No

99204(CPT)AI Enhanced

Office/outpatient visit for the evaluation and management of a new patient

$160.00
Medicare Paid

Office/outpatient visit

Office or other outpatient visit for the evaluation and management of a new patient. Typically 45 minutes are spent with the patient.

Specialty
Specialist
Category
Evaluation & Management
Service: Jan 31, 2026
Provider charged
$230.00
Medicare Allowed
$200.00
Medicare Paid
$160.00
Your responsibility
$70.00

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