Medicare Facts for Dr. Miguel G. Madariaga, MD


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

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