Medicare Facts for Melissa A. Toner


National Provider Identifier [NPI]: 1154374841
Last Name Of The Provider TONER
First Name Of The Provider MELISSA
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2217 DECATUR HWY
Street Address 2 Of The Provider SUITE 101
City Of The Provider GARDENDALE
Zip Code Of The Provider 350712301
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 75
Number Of Services 2661
Number Of Medicare Beneficiaries 419
Total Submitted Charge Amount 194236
Total Medicare Allowed Amount 145188.74
Total Medicare Payment Amount 97436.56
Total Medicare Standardized Payment Amount 109473.66
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 575
Number Of Medicare Beneficiaries With Drug Services 201
Total Drug Submitted ChargeAmount 6252
Total Drug Medicare AllowedAmount 4262.68
Total Drug Medicare PaymentAmount 4036.26
Total Drug Medicare Standardized Payment Amount 4036.26
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 64
Number Of Medical Services 2086
Number Of Medicare Beneficiaries With Medical Services 419
Total Medical Submitted Charge Amount 187984
Total Medical Medicare Allowed Amount 140926.06
Total Medical Medicare Payment Amount 93400.3
Total Medical Medicare Standardized Payment Amount 105437.4
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 46
Number Of Beneficiaries Age 65 to 74 200
Number Of Beneficiaries Age 75 to 84 118
Number Of Beneficiaries Age Greater 84 55
Number Of Female Beneficiaries 338
Number Of Male Beneficiaries 81
Number Of Non Hispanic White Beneficiaries 388
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 395
Number Of Beneficiaries With Medicare Medicaid Entitlement 24
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 9
Percent Of With Cancer 8
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 29
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 28
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.823

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