National Provider Identifier [NPI]: |
1255774006 |
Last Name Of The Provider |
MCGRATH |
First Name Of The Provider |
CAITLIN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PHYSICIANS ASSISTANT |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 E BOYD AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
GREENFIELD |
Zip Code Of The Provider |
461402816 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
950 |
Number Of Medicare Beneficiaries |
449 |
Total Submitted Charge Amount |
73885 |
Total Medicare Allowed Amount |
48746.49 |
Total Medicare Payment Amount |
38519.94 |
Total Medicare Standardized Payment Amount |
46980.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
81 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
6178 |
Total Drug Medicare AllowedAmount |
5115.67 |
Total Drug Medicare PaymentAmount |
5001.91 |
Total Drug Medicare Standardized Payment Amount |
5001.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
869 |
Number Of Medicare Beneficiaries With Medical Services |
448 |
Total Medical Submitted Charge Amount |
67707 |
Total Medical Medicare Allowed Amount |
43630.82 |
Total Medical Medicare Payment Amount |
33518.03 |
Total Medical Medicare Standardized Payment Amount |
41978.47 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.2972 |