Medicare Facts for Dr. Donald G. Pratt, MD


National Provider Identifier [NPI]: 1437136660
Last Name Of The Provider PRATT
First Name Of The Provider DONALD
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 26800 CROWN VALLEY PKWY
Street Address 2 Of The Provider SUITE 325
City Of The Provider MISSION VIEJO
Zip Code Of The Provider 926916384
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 86
Number Of Services 7674
Number Of Medicare Beneficiaries 708
Total Submitted Charge Amount 437305
Total Medicare Allowed Amount 260898.75
Total Medicare Payment Amount 200793.99
Total Medicare Standardized Payment Amount 187045.86
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 493
Number Of Medicare Beneficiaries With Drug Services 270
Total Drug Submitted ChargeAmount 24207
Total Drug Medicare AllowedAmount 12329.6
Total Drug Medicare PaymentAmount 11519.13
Total Drug Medicare Standardized Payment Amount 11519.13
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 76
Number Of Medical Services 7181
Number Of Medicare Beneficiaries With Medical Services 708
Total Medical Submitted Charge Amount 413098
Total Medical Medicare Allowed Amount 248569.15
Total Medical Medicare Payment Amount 189274.86
Total Medical Medicare Standardized Payment Amount 175526.73
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 293
Number Of Beneficiaries Age 75 to 84 283
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 330
Number Of Male Beneficiaries 378
Number Of Non Hispanic White Beneficiaries 664
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 20
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 16
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 11
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 0.9705

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