National Provider Identifier [NPI]: |
1316995129 |
Last Name Of The Provider |
MADARIAGA |
First Name Of The Provider |
MIGUEL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
595 W STATE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOYLESTOWN |
Zip Code Of The Provider |
189012554 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
131863 |
Number Of Medicare Beneficiaries |
1216 |
Total Submitted Charge Amount |
2079517 |
Total Medicare Allowed Amount |
1133114.77 |
Total Medicare Payment Amount |
886233.56 |
Total Medicare Standardized Payment Amount |
866056.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
39 |
Number Of Drug Services |
126871 |
Number Of Medicare Beneficiaries With Drug Services |
276 |
Total Drug Submitted ChargeAmount |
1062864 |
Total Drug Medicare AllowedAmount |
609593.62 |
Total Drug Medicare PaymentAmount |
477517.17 |
Total Drug Medicare Standardized Payment Amount |
477517.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4992 |
Number Of Medicare Beneficiaries With Medical Services |
1216 |
Total Medical Submitted Charge Amount |
1016653 |
Total Medical Medicare Allowed Amount |
523521.15 |
Total Medical Medicare Payment Amount |
408716.39 |
Total Medical Medicare Standardized Payment Amount |
388538.94 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
387 |
Number Of Beneficiaries Age 75 to 84 |
448 |
Number Of Beneficiaries Age Greater 84 |
258 |
Number Of Female Beneficiaries |
576 |
Number Of Male Beneficiaries |
640 |
Number Of Non Hispanic White Beneficiaries |
1107 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1058 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.3197 |