National Provider Identifier [NPI]: |
1376658641 |
Last Name Of The Provider |
MCDONALD |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
655 JESSE JEWELL PKWY SE |
Street Address 2 Of The Provider |
STE C |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305013854 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
5893 |
Number Of Medicare Beneficiaries |
954 |
Total Submitted Charge Amount |
805637 |
Total Medicare Allowed Amount |
362035.95 |
Total Medicare Payment Amount |
269458.65 |
Total Medicare Standardized Payment Amount |
286673.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2327 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
34445 |
Total Drug Medicare AllowedAmount |
11855.51 |
Total Drug Medicare PaymentAmount |
9280.47 |
Total Drug Medicare Standardized Payment Amount |
9280.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
3566 |
Number Of Medicare Beneficiaries With Medical Services |
954 |
Total Medical Submitted Charge Amount |
771192 |
Total Medical Medicare Allowed Amount |
350180.44 |
Total Medical Medicare Payment Amount |
260178.18 |
Total Medical Medicare Standardized Payment Amount |
277392.65 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
244 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
571 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
885 |
Number Of Black or African American Beneficiaries |
40 |
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 |
675 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
279 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.4374 |