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Sen. Menendezís donor-doctor is nationís top Medicare biller
daily caller ^ | 4/9/14 | Neil Munro

Posted on 04/09/2014 5:29:42 PM PDT by Nachum

The Florida doctor who entangled Sen. Robert Menendez in an FBI investigation also turns out to be the nation’s No. 1 recipient of Medicare funds.

Dr. Salomon Melgin, the Florida eye surgeon, charged the government $320 for giving 37,075 injections of an eye-drug to 645 patients. That’s an average of 57 injections per patient, costing the taxpayer $21 million in 2012.

The data was buried in an April 9 release of Medicare data by the Centers for Medicare & Medicaid Studies.

The wealthy doctor lives in a palatial house in in North Palm Beach, and donated heavily to Menendez. He’s now the target of at least one FBI investigation, which included raids on his offices in January and October 2013.

Menendez got entangled in the doctor’s finances when he used Melgen’s private plane to fly Menendez to various locales, including vacation sites in the Dominican Republic. Menendez took at least three trips on the doctor’s airplane in 2010.

(Excerpt) Read more at dailycaller.com ...


TOPICS: News/Current Events
KEYWORDS: donordoctor; medicare; menendezs

1 posted on 04/09/2014 5:29:42 PM PDT by Nachum
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To: Nachum

One of his campaign clips had him in an urban nieghborhood claiming he lives not far fron here, funny


2 posted on 04/09/2014 5:32:58 PM PDT by ronnie raygun
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To: Nachum

57 eye injections per patient per year?

Their eyes would look like sieves.

More than one injection per week on average?

No one ever take a vacation or get sick in Palm Beach?


3 posted on 04/09/2014 5:42:30 PM PDT by Bartholomew Roberts
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To: Nachum
. Menendez’s donor-doctor is nation’s top Medicare biller

This could be nothing but a complete, total, innocent coincidence! Good grief, you people are absolute conspiracy nuts!

4 posted on 04/09/2014 5:43:31 PM PDT by Steely Tom (How do you feel about robbing Peter's robot?)
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To: Nachum

The system has been taken over by the left and co-opted Republicans.

I fear it is too late


5 posted on 04/09/2014 5:51:43 PM PDT by Erik Latranyi
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To: Nachum

They both skated on their previous mutual scandal.Now we know why-—gotta keep up the self-dealing at all costs.


6 posted on 04/09/2014 5:54:15 PM PDT by supremedoctrine
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To: Nachum

What a racket..


7 posted on 04/09/2014 6:06:46 PM PDT by NormsRevenge (Semper Fi - Revolution is a'brewin!!!)
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To: Nachum

This is the Doc with the Dominican hooker jet frequented by Menindez.


8 posted on 04/09/2014 6:08:15 PM PDT by Oldeconomybuyer (The problem with socialism is that you eventually run out of other people's money.)
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To: Nachum

Other democrats, Obama and Reid, mentioned in this NYT article:

http://www.nytimes.com/2014/04/10/business/doctor-with-big-medicare-billings-is-no-stranger-to-scrutiny.html?_r=0


9 posted on 04/09/2014 6:15:11 PM PDT by Veto! (OpInions freely dispensed as advice)
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To: Oldeconomybuyer
This is the Doc with the Dominican hooker jet frequented by Menindez.

Yeah. Sen. Menendez likes teenage girls.

Hey, Uday Hussein liked 'em too.

10 posted on 04/09/2014 6:17:19 PM PDT by Steely Tom (How do you feel about robbing Peter's robot?)
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To: Bartholomew Roberts
Not my specialty, but from what I've read elsewhere this week I suspect the drug is Lucentis which is used for 'wet' macular degeneration and some other serious eye problems as intraocular injections. Doctors buy the drug and then bill medicare for it. Medicare sets what they can charge per dose and some recent articles have reported the drug mark up is not large. The national Medicare price for the drug is about $2000 for the usual dose, per eye. I'd expect they'll be allowed additional charge codes for actually performing the injections and that whatever profit they received mainly came there. One would want an experienced and expensive doctor to administer injections into their eyeballs I'd think! And with all the old folks in Florida I'd expect there would be plenty of patients with that problem.

What I see listed as the usual dose is one injection every 4 weeks, which even with both eyes involved makes 57 injections per patient per year problematic. Maybe more than 'usual' frequency of injections is supported by something in the eye literature and maybe some old folks in Florida think they're worth not $50k but $100k/year so they can keep reading those butterfly ballots. As a mere dermatologist I hope to never learn more details about such shots personally.

11 posted on 04/09/2014 6:33:29 PM PDT by JohnBovenmyer (Obama been Liberal. Hope Change!)
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To: JohnBovenmyer
What I see listed as the usual dose is one injection every 4 weeks, which even with both eyes involved makes 57 injections per patient per year problematic.

Maybe some of the injections were not the real drug.

12 posted on 04/09/2014 7:42:31 PM PDT by Mike Darancette (Do The Math)
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To: JohnBovenmyer

Thanks for the insight!

No pun intended!


13 posted on 04/09/2014 7:54:19 PM PDT by Bartholomew Roberts
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To: Bartholomew Roberts
I think I've figured out how to square this circle! The article says he charged "$320 for giving 37,075 injections" in 2012. The 2014 unit price for the drug is nearly $400, so either the price has gone up (likely) or he was undercharging. The trick comes that the "unit" Medicare uses for this drug is 0.1mg, yet the usual dose per eyeball is 0.5 mg, i.e. 5 units per shot. The article writer was counting billing 'units' not injections and didn't realize they weren't the same. So the real number of eyeball sticks is one fifth of what it claims: 11.4 injections per patient per year rather than the 57 claimed. And thus my statement upthread that the drug cost (now) about $2k/eyeball injected.

That's a very reasonable number for a monthly drug, especially considering that some patients will have two eyeballs needing treatment. His high total charges thus reflect only that he's treating more people with macular degeneration than anything else. Which strikes me as a very good reason to pick a doctor for something like this. The only thing I see wrong with the doctor is his taste in friends and politics.

14 posted on 04/09/2014 8:46:34 PM PDT by JohnBovenmyer (Obama been Liberal. Hope Change!)
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To: JohnBovenmyer

I always hate it when well reasoned and thoughtful responses come at the end of a thread. It means fewer people have read and absorbed what was written.

You’ve helped me at least.

Nice knowing you are here!


15 posted on 04/10/2014 4:38:23 AM PDT by Bartholomew Roberts
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To: Bartholomew Roberts; Nachum; Mike Darancette

I’m annoyed with myself. I knew the key missing datum—that there were 5 ‘units’ billed per shot— when I made my post at #11, but didn’t realize the article writer lacked it until my final explication at #14. And I’d intended to ping a couple others who’d posted upthread once I’d explained things by ‘doing the math.’ But I forgot. My plate must be too full this week. So I’ll use your nice post as an excuse to ping those I’d missed.


16 posted on 04/10/2014 9:20:00 AM PDT by JohnBovenmyer (Obama been Liberal. Hope Change!)
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