Medicare Facts for Paul D. Hughes, PT


National Provider Identifier [NPI]: 1265448229
Last Name Of The Provider HUGHES
First Name Of The Provider PAUL
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 38135 MARKET SQUARE
Street Address 2 Of The Provider
City Of The Provider ZEPHYRHILLS
Zip Code Of The Provider 33542
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 41
Number Of Services 6153
Number Of Medicare Beneficiaries 1370
Total Submitted Charge Amount 575269
Total Medicare Allowed Amount 386439.6
Total Medicare Payment Amount 283747.27
Total Medicare Standardized Payment Amount 287287.71
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 511
Number Of Medicare Beneficiaries With Drug Services 355
Total Drug Submitted ChargeAmount 15096
Total Drug Medicare AllowedAmount 9598.29
Total Drug Medicare PaymentAmount 9225.36
Total Drug Medicare Standardized Payment Amount 9225.36
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 5642
Number Of Medicare Beneficiaries With Medical Services 1369
Total Medical Submitted Charge Amount 560173
Total Medical Medicare Allowed Amount 376841.31
Total Medical Medicare Payment Amount 274521.91
Total Medical Medicare Standardized Payment Amount 278062.35
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 142
Number Of Beneficiaries Age 65 to 74 637
Number Of Beneficiaries Age 75 to 84 442
Number Of Beneficiaries Age Greater 84 149
Number Of Female Beneficiaries 700
Number Of Male Beneficiaries 670
Number Of Non Hispanic White Beneficiaries 1316
Number Of Black or African American Beneficiaries 18
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 18
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1239
Number Of Beneficiaries With Medicare Medicaid Entitlement 131
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 12
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 19
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 46
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1931

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