For the first time ever, the public finally caught a glimpse of how the massive Medicare program pays its doctors.
The Centers for Medicare and Medicaid Services released a massive database on Wednesday revealing how Medicare doled out $77 billion to some 880,000 providers in 2012.
Related: Historic Medicare Data Dump Blows the Lid Off Doc Pay
The data shows that just a sliver of providers--about 2 percent earned roughly a quarter the overall fees. Some of the top earners --—including an ophthalmologist in Florida—received more than 100 times the average payout in their respective fields. These government figures are for Medicare Part B claims, which includes doctor visits, lab tests and out-patient treatment; they don’t cover commercial insurance, Medicaid or even Medicare Advantage plans.
Consumers and media outlets have pressured Medicare to release the data for years. During a press call with reporters on Wednesday CMS officials said the new information would provide more transparency for Medicare patients.
“For too long, the only information on physicians readily available to consumers was physician name, address and phone number,” CMS officials said in a statement. “This data will, for the first time, provide a better picture of how physicians practice in the Medicare program.”
The release received pushback from the American Medical Association, which cautioned that simply publishing the raw data could lead to a misunderstanding of how much doctors are actually making. That’s because many of the high payments also reflect the steep costs of pharmaceuticals and medical devices.
Related: Two New Studies Raise Red Flags on Obamacare
“We believe that the broad data dump today by CMS has significant short-comings regarding the accuracy and value of the medical services rendered by physicians. Releasing the data without context will likely lead to inaccuracies, misinterpretations, false conclusions and other unintended consequences,” the group said in a statement.
In some cases, the payments listed under one provider’s name actually represents what his or her entire staff is receiving from Medicare. For example, Newport Beach oncologist Minh Nguyen was listed as Medicare’s highest paid doctor in California—getting about $11.3 million for treating Medicare patients in 2012. However, Nguyen told the Los Angeles Times that was misleading since all five physicians at his oncology practice bill Medicare under his name. He added that much of that money is also used for expensive chemotherapy drugs.
"Without an explanation, it looks like doctors are making a gazillion dollars," Nguyen told the LA Times. "Holy smoke, if I made $11 million I would have a private jet. It's ridiculous the government can release these numbers and make me look like a bad guy. I make a good living, but I'm not making seven figures."