jose, who is a medicare patient, is seen in dr. lee’s office. the total charge for the office visit is $250.00. jose has previously paid his medicare part b deductible. the medicare fee schedule amount for this service is $200.00. the nonparticipating medicare fee schedule amount for this service is $190.00. dr. lee is a medicare participating physician. what is the total amount of the patient’s cost sharing for this encounter?