Medicare Facts for Dr. David J. Downs, MD


National Provider Identifier [NPI]: 1023101375
Last Name Of The Provider DOWNS
First Name Of The Provider DAVID
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 101 LAGUNA RD
Street Address 2 Of The Provider SUITE A
City Of The Provider FULLERTON
Zip Code Of The Provider 928353634
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 58
Number Of Services 1763
Number Of Medicare Beneficiaries 285
Total Submitted Charge Amount 704811.56
Total Medicare Allowed Amount 183492.2
Total Medicare Payment Amount 138790.71
Total Medicare Standardized Payment Amount 126149.37
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 383
Number Of Medicare Beneficiaries With Drug Services 130
Total Drug Submitted ChargeAmount 144588
Total Drug Medicare AllowedAmount 42245
Total Drug Medicare PaymentAmount 33115.69
Total Drug Medicare Standardized Payment Amount 33115.69
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 55
Number Of Medical Services 1380
Number Of Medicare Beneficiaries With Medical Services 285
Total Medical Submitted Charge Amount 560223.56
Total Medical Medicare Allowed Amount 141247.2
Total Medical Medicare Payment Amount 105675.02
Total Medical Medicare Standardized Payment Amount 93033.68
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 124
Number Of Beneficiaries Age 75 to 84 89
Number Of Beneficiaries Age Greater 84 49
Number Of Female Beneficiaries 171
Number Of Male Beneficiaries 114
Number Of Non Hispanic White Beneficiaries 230
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 16
Number Of Hispanic Beneficiaries 28
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 239
Number Of Beneficiaries With Medicare Medicaid Entitlement 46
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 9
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 18
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0113

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