National Provider Identifier [NPI]: |
1154323137 |
Last Name Of The Provider |
MCALEAR |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3909 WOODLEY RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
TOLEDO |
Zip Code Of The Provider |
436061169 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
2043 |
Number Of Medicare Beneficiaries |
313 |
Total Submitted Charge Amount |
203984 |
Total Medicare Allowed Amount |
141368.87 |
Total Medicare Payment Amount |
98657.97 |
Total Medicare Standardized Payment Amount |
104236.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
406 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
20898 |
Total Drug Medicare AllowedAmount |
10626.03 |
Total Drug Medicare PaymentAmount |
10059.23 |
Total Drug Medicare Standardized Payment Amount |
10059.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
1637 |
Number Of Medicare Beneficiaries With Medical Services |
313 |
Total Medical Submitted Charge Amount |
183086 |
Total Medical Medicare Allowed Amount |
130742.84 |
Total Medical Medicare Payment Amount |
88598.74 |
Total Medical Medicare Standardized Payment Amount |
94177.52 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
159 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
296 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0701 |