Medicare Facts for Dr. David E. Toomey, DO


National Provider Identifier [NPI]: 1255408985
Last Name Of The Provider TOOMEY
First Name Of The Provider DAVID
Middle Initial Of The Provider E
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1950 MARIETTA AVE
Street Address 2 Of The Provider
City Of The Provider LANCASTER
Zip Code Of The Provider 176032324
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 3970
Number Of Medicare Beneficiaries 374
Total Submitted Charge Amount 324300
Total Medicare Allowed Amount 285265.08
Total Medicare Payment Amount 211723.98
Total Medicare Standardized Payment Amount 218386.53
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 101
Number Of Medicare Beneficiaries With Drug Services 95
Total Drug Submitted ChargeAmount 3210
Total Drug Medicare AllowedAmount 1672.31
Total Drug Medicare PaymentAmount 1639.05
Total Drug Medicare Standardized Payment Amount 1639.05
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 33
Number Of Medical Services 3869
Number Of Medicare Beneficiaries With Medical Services 374
Total Medical Submitted Charge Amount 321090
Total Medical Medicare Allowed Amount 283592.77
Total Medical Medicare Payment Amount 210084.93
Total Medical Medicare Standardized Payment Amount 216747.48
Average Age Of Beneficiaries 78
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74 102
Number Of Beneficiaries Age 75 to 84 118
Number Of Beneficiaries Age Greater 84 120
Number Of Female Beneficiaries 234
Number Of Male Beneficiaries 140
Number Of Non Hispanic White Beneficiaries 346
Number Of Black or African American Beneficiaries 15
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 203
Number Of Beneficiaries With Medicare Medicaid Entitlement 171
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 38
Percent Of With Asthma 5
Percent Of With Cancer 9
Percent Of With Heart Failure 32
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 31
Percent Of With Depression 33
Percent Of With Diabetes 54
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 69
Percent Of With Schizophrenia Other PsychoticDisorders 17
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.7249

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