Medicare Facts for Dr. Benjamin J. Downie, MD


National Provider Identifier [NPI]: 1477765550
Last Name Of The Provider DOWNIE
First Name Of The Provider BENJAMIN
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2000 SCENIC DR STE G002
Street Address 2 Of The Provider
City Of The Provider GEORGETOWN
Zip Code Of The Provider 786267726
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 175
Number Of Services 277209
Number Of Medicare Beneficiaries 840
Total Submitted Charge Amount 11387509.5
Total Medicare Allowed Amount 4659245.05
Total Medicare Payment Amount 3615536.85
Total Medicare Standardized Payment Amount 3628184.02
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 82
Number Of Drug Services 260227
Number Of Medicare Beneficiaries With Drug Services 383
Total Drug Submitted ChargeAmount 9242018
Total Drug Medicare AllowedAmount 4012622.28
Total Drug Medicare PaymentAmount 3104885.68
Total Drug Medicare Standardized Payment Amount 3104885.68
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 93
Number Of Medical Services 16982
Number Of Medicare Beneficiaries With Medical Services 833
Total Medical Submitted Charge Amount 2145491.5
Total Medical Medicare Allowed Amount 646622.77
Total Medical Medicare Payment Amount 510651.17
Total Medical Medicare Standardized Payment Amount 523298.34
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 61
Number Of Beneficiaries Age 65 to 74 394
Number Of Beneficiaries Age 75 to 84 281
Number Of Beneficiaries Age Greater 84 104
Number Of Female Beneficiaries 499
Number Of Male Beneficiaries 341
Number Of Non Hispanic White Beneficiaries 728
Number Of Black or African American Beneficiaries 38
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 59
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 761
Number Of Beneficiaries With Medicare Medicaid Entitlement 79
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 8
Percent Of With Cancer 44
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 23
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.6914

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