National Provider Identifier [NPI]: |
1528052859 |
Last Name Of The Provider |
MCDANALD |
First Name Of The Provider |
EUGENE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4532 N MESA ST |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799126102 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
33817 |
Number Of Medicare Beneficiaries |
540 |
Total Submitted Charge Amount |
2615843 |
Total Medicare Allowed Amount |
1386325.95 |
Total Medicare Payment Amount |
1048987.63 |
Total Medicare Standardized Payment Amount |
1059527.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
28953 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
1997974 |
Total Drug Medicare AllowedAmount |
1105061.37 |
Total Drug Medicare PaymentAmount |
839255.06 |
Total Drug Medicare Standardized Payment Amount |
839255.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4864 |
Number Of Medicare Beneficiaries With Medical Services |
540 |
Total Medical Submitted Charge Amount |
617869 |
Total Medical Medicare Allowed Amount |
281264.58 |
Total Medical Medicare Payment Amount |
209732.57 |
Total Medical Medicare Standardized Payment Amount |
220272.27 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
403 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
187 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
334 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
338 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
34 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5068 |