National Provider Identifier [NPI]: |
1770560229 |
Last Name Of The Provider |
GALLAGHER |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
223 WALNUT ST #24 |
Street Address 2 Of The Provider |
DONALD I GALLAGHER DPM |
City Of The Provider |
FRAMINGHAM |
Zip Code Of The Provider |
017025855 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
1862 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
222785 |
Total Medicare Allowed Amount |
120738.34 |
Total Medicare Payment Amount |
89778.45 |
Total Medicare Standardized Payment Amount |
83096.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
425 |
Total Drug Medicare AllowedAmount |
97.28 |
Total Drug Medicare PaymentAmount |
76.29 |
Total Drug Medicare Standardized Payment Amount |
76.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1845 |
Number Of Medicare Beneficiaries With Medical Services |
482 |
Total Medical Submitted Charge Amount |
222360 |
Total Medical Medicare Allowed Amount |
120641.06 |
Total Medical Medicare Payment Amount |
89702.16 |
Total Medical Medicare Standardized Payment Amount |
83019.95 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
313 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
469 |
Number Of Black or African American Beneficiaries |
|
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 |
405 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6167 |