National Provider Identifier [NPI]: |
1447487178 |
Last Name Of The Provider |
MACKAY |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 S GARDEN WAY |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
EUGENE |
Zip Code Of The Provider |
974018176 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
1417 |
Number Of Medicare Beneficiaries |
257 |
Total Submitted Charge Amount |
160096 |
Total Medicare Allowed Amount |
60138.09 |
Total Medicare Payment Amount |
44191.72 |
Total Medicare Standardized Payment Amount |
47053.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
4207 |
Total Drug Medicare AllowedAmount |
2956.56 |
Total Drug Medicare PaymentAmount |
2595.55 |
Total Drug Medicare Standardized Payment Amount |
2595.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
1273 |
Number Of Medicare Beneficiaries With Medical Services |
257 |
Total Medical Submitted Charge Amount |
155889 |
Total Medical Medicare Allowed Amount |
57181.53 |
Total Medical Medicare Payment Amount |
41596.17 |
Total Medical Medicare Standardized Payment Amount |
44458.25 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
242 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.151 |