Medicare Facts for Dr. David A. McLain, MD


National Provider Identifier [NPI]: 1689614737
Last Name Of The Provider MCLAIN
First Name Of The Provider DAVID
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2229 CAHABA VALLEY DR
Street Address 2 Of The Provider
City Of The Provider BIRMINGHAM
Zip Code Of The Provider 352422602
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 48
Number Of Services 7819
Number Of Medicare Beneficiaries 948
Total Submitted Charge Amount 488212.7
Total Medicare Allowed Amount 317084.42
Total Medicare Payment Amount 214853.53
Total Medicare Standardized Payment Amount 240673.24
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 3092
Number Of Medicare Beneficiaries With Drug Services 406
Total Drug Submitted ChargeAmount 72085
Total Drug Medicare AllowedAmount 33372.66
Total Drug Medicare PaymentAmount 26460.47
Total Drug Medicare Standardized Payment Amount 26460.47
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 37
Number Of Medical Services 4727
Number Of Medicare Beneficiaries With Medical Services 948
Total Medical Submitted Charge Amount 416127.7
Total Medical Medicare Allowed Amount 283711.76
Total Medical Medicare Payment Amount 188393.06
Total Medical Medicare Standardized Payment Amount 214212.77
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 359
Number Of Beneficiaries Age 65 to 74 403
Number Of Beneficiaries Age 75 to 84 166
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 757
Number Of Male Beneficiaries 191
Number Of Non Hispanic White Beneficiaries 885
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 905
Number Of Beneficiaries With Medicare Medicaid Entitlement 43
Percent Of With Atrial Fibrillation 5
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 9
Percent Of With Cancer 6
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 24
Percent Of With Diabetes 20
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.0614

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