National Provider Identifier [NPI]: |
1174521058 |
Last Name Of The Provider |
MCCARTY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1925 W MOUNTAIN VIEW AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LONGMONT |
Zip Code Of The Provider |
805013128 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
194 |
Number Of Services |
14585 |
Number Of Medicare Beneficiaries |
1273 |
Total Submitted Charge Amount |
582171.28 |
Total Medicare Allowed Amount |
426263.14 |
Total Medicare Payment Amount |
326100.85 |
Total Medicare Standardized Payment Amount |
327640.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
4158 |
Number Of Medicare Beneficiaries With Drug Services |
322 |
Total Drug Submitted ChargeAmount |
50285.5 |
Total Drug Medicare AllowedAmount |
28089.4 |
Total Drug Medicare PaymentAmount |
25377 |
Total Drug Medicare Standardized Payment Amount |
25377 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
169 |
Number Of Medical Services |
10427 |
Number Of Medicare Beneficiaries With Medical Services |
1273 |
Total Medical Submitted Charge Amount |
531885.78 |
Total Medical Medicare Allowed Amount |
398173.74 |
Total Medical Medicare Payment Amount |
300723.85 |
Total Medical Medicare Standardized Payment Amount |
302263.72 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
488 |
Number Of Beneficiaries Age 75 to 84 |
379 |
Number Of Beneficiaries Age Greater 84 |
270 |
Number Of Female Beneficiaries |
827 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
1156 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1050 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
223 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2386 |