National Provider Identifier [NPI]: |
1104884246 |
Last Name Of The Provider |
DOWNEY |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2922 PROFESSIONAL PKWY |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
309076528 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
22025 |
Number Of Medicare Beneficiaries |
867 |
Total Submitted Charge Amount |
1656918.47 |
Total Medicare Allowed Amount |
754864.29 |
Total Medicare Payment Amount |
535925.26 |
Total Medicare Standardized Payment Amount |
577358.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6592 |
Number Of Medicare Beneficiaries With Drug Services |
500 |
Total Drug Submitted ChargeAmount |
14808.5 |
Total Drug Medicare AllowedAmount |
7092.68 |
Total Drug Medicare PaymentAmount |
5295.73 |
Total Drug Medicare Standardized Payment Amount |
5295.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
15433 |
Number Of Medicare Beneficiaries With Medical Services |
867 |
Total Medical Submitted Charge Amount |
1642109.97 |
Total Medical Medicare Allowed Amount |
747771.61 |
Total Medical Medicare Payment Amount |
530629.53 |
Total Medical Medicare Standardized Payment Amount |
572063.15 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
432 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
556 |
Number Of Male Beneficiaries |
311 |
Number Of Non Hispanic White Beneficiaries |
674 |
Number Of Black or African American Beneficiaries |
175 |
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 |
743 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1652 |