Medicare Facts for Dr. John C. Downs, MD


National Provider Identifier [NPI]: 1093780496
Last Name Of The Provider DOWNS
First Name Of The Provider JOHN
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 7505 OSLER DR
Street Address 2 Of The Provider SUITE 302
City Of The Provider TOWSON
Zip Code Of The Provider 212047736
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 104
Number Of Services 137246
Number Of Medicare Beneficiaries 402
Total Submitted Charge Amount 4076904.86
Total Medicare Allowed Amount 1819428.17
Total Medicare Payment Amount 1406618.07
Total Medicare Standardized Payment Amount 1397518.48
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 69
Number Of Drug Services 132319
Number Of Medicare Beneficiaries With Drug Services 194
Total Drug Submitted ChargeAmount 3258135.35
Total Drug Medicare AllowedAmount 1558593.56
Total Drug Medicare PaymentAmount 1210238.35
Total Drug Medicare Standardized Payment Amount 1210238.35
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 35
Number Of Medical Services 4927
Number Of Medicare Beneficiaries With Medical Services 402
Total Medical Submitted Charge Amount 818769.51
Total Medical Medicare Allowed Amount 260834.61
Total Medical Medicare Payment Amount 196379.72
Total Medical Medicare Standardized Payment Amount 187280.13
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 132
Number Of Beneficiaries Age 75 to 84 140
Number Of Beneficiaries Age Greater 84 104
Number Of Female Beneficiaries 259
Number Of Male Beneficiaries 143
Number Of Non Hispanic White Beneficiaries 345
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 369
Number Of Beneficiaries With Medicare Medicaid Entitlement 33
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 7
Percent Of With Cancer 37
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 20
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.7328

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