Medicare Facts for Dr. Edward J. Maxwell, MD


National Provider Identifier [NPI]: 1710119425
Last Name Of The Provider MAXWELL
First Name Of The Provider EDWARD
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2250 HAYES ST STE 302
Street Address 2 Of The Provider DIGNITY HEALTH MEDICAL GROUP
City Of The Provider SAN FRANCISCO
Zip Code Of The Provider 941171078
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Psychiatry
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 152
Number Of Medicare Beneficiaries 40
Total Submitted Charge Amount 19615.56
Total Medicare Allowed Amount 17587.79
Total Medicare Payment Amount 13582.46
Total Medicare Standardized Payment Amount 13018.63
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 10
Number Of Medical Services 152
Number Of Medicare Beneficiaries With Medical Services 40
Total Medical Submitted Charge Amount 19615.56
Total Medical Medicare Allowed Amount 17587.79
Total Medical Medicare Payment Amount 13582.46
Total Medical Medicare Standardized Payment Amount 13018.63
Average Age Of Beneficiaries 50
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 23
Number Of Male Beneficiaries 17
Number Of Non Hispanic White Beneficiaries 18
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 55
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 30
Percent Of With Hypertension 43
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 75
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3782

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