Medicare Facts for Dr. Dale E. Toney, MD


National Provider Identifier [NPI]: 1316951973
Last Name Of The Provider TONEY
First Name Of The Provider DALE
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 740 S LIMESTONE
Street Address 2 Of The Provider
City Of The Provider LEXINGTON
Zip Code Of The Provider 405360001
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 1373
Number Of Medicare Beneficiaries 317
Total Submitted Charge Amount 216364
Total Medicare Allowed Amount 105054.86
Total Medicare Payment Amount 73681.41
Total Medicare Standardized Payment Amount 80121.64
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 179
Number Of Medicare Beneficiaries With Drug Services 132
Total Drug Submitted ChargeAmount 22085
Total Drug Medicare AllowedAmount 12500.37
Total Drug Medicare PaymentAmount 12245.44
Total Drug Medicare Standardized Payment Amount 12245.44
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 1194
Number Of Medicare Beneficiaries With Medical Services 317
Total Medical Submitted Charge Amount 194279
Total Medical Medicare Allowed Amount 92554.49
Total Medical Medicare Payment Amount 61435.97
Total Medical Medicare Standardized Payment Amount 67876.2
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 40
Number Of Beneficiaries Age 65 to 74 136
Number Of Beneficiaries Age 75 to 84 97
Number Of Beneficiaries Age Greater 84 44
Number Of Female Beneficiaries 141
Number Of Male Beneficiaries 176
Number Of Non Hispanic White Beneficiaries 279
Number Of Black or African American Beneficiaries 26
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 269
Number Of Beneficiaries With Medicare Medicaid Entitlement 48
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 8
Percent Of With Cancer 14
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 26
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1856

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