Medicare Facts for Dr. Margaret Y. Baumgarten, MD


National Provider Identifier [NPI]: 1023096559
Last Name Of The Provider BAUMGARTEN
First Name Of The Provider MARGARET
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 600 CRAWFORD ST
Street Address 2 Of The Provider SUITE 300
City Of The Provider PORTSMOUTH
Zip Code Of The Provider 237043820
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 43
Number Of Services 989
Number Of Medicare Beneficiaries 381
Total Submitted Charge Amount 133988
Total Medicare Allowed Amount 77947.64
Total Medicare Payment Amount 56018.89
Total Medicare Standardized Payment Amount 57634.01
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 44
Number Of Medicare Beneficiaries With Drug Services 39
Total Drug Submitted ChargeAmount 2005
Total Drug Medicare AllowedAmount 1116.28
Total Drug Medicare PaymentAmount 1093.09
Total Drug Medicare Standardized Payment Amount 1093.09
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 945
Number Of Medicare Beneficiaries With Medical Services 381
Total Medical Submitted Charge Amount 131983
Total Medical Medicare Allowed Amount 76831.36
Total Medical Medicare Payment Amount 54925.8
Total Medical Medicare Standardized Payment Amount 56540.92
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 148
Number Of Beneficiaries Age 65 to 74 116
Number Of Beneficiaries Age 75 to 84 73
Number Of Beneficiaries Age Greater 84 44
Number Of Female Beneficiaries 225
Number Of Male Beneficiaries 156
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 207
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 221
Number Of Beneficiaries With Medicare Medicaid Entitlement 160
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 10
Percent Of With Cancer 10
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 34
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 28
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.7334

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