National Provider Identifier [NPI]: |
1225270416 |
Last Name Of The Provider |
MACGILL |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 CLINT MOORE RD |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334872768 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
5100 |
Number Of Medicare Beneficiaries |
935 |
Total Submitted Charge Amount |
1436120.16 |
Total Medicare Allowed Amount |
385115.19 |
Total Medicare Payment Amount |
288810.43 |
Total Medicare Standardized Payment Amount |
272254.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
195 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
3506 |
Total Drug Medicare AllowedAmount |
333.98 |
Total Drug Medicare PaymentAmount |
257.11 |
Total Drug Medicare Standardized Payment Amount |
257.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
4905 |
Number Of Medicare Beneficiaries With Medical Services |
935 |
Total Medical Submitted Charge Amount |
1432614.16 |
Total Medical Medicare Allowed Amount |
384781.21 |
Total Medical Medicare Payment Amount |
288553.32 |
Total Medical Medicare Standardized Payment Amount |
271997.21 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
342 |
Number Of Beneficiaries Age Greater 84 |
230 |
Number Of Female Beneficiaries |
519 |
Number Of Male Beneficiaries |
416 |
Number Of Non Hispanic White Beneficiaries |
857 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
830 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7479 |