Medicare Facts for Dr. Daniel G. Domjan, MD


National Provider Identifier [NPI]: 1235119215
Last Name Of The Provider DOMJAN
First Name Of The Provider DANIEL
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 200 SOUTHLAND DR
Street Address 2 Of The Provider
City Of The Provider SIKESTON
Zip Code Of The Provider 638014403
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 59
Number Of Services 3716
Number Of Medicare Beneficiaries 485
Total Submitted Charge Amount 128835
Total Medicare Allowed Amount 38049.87
Total Medicare Payment Amount 36329.89
Total Medicare Standardized Payment Amount 36756.66
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 59
Number Of Medical Services 3716
Number Of Medicare Beneficiaries With Medical Services 485
Total Medical Submitted Charge Amount 128835
Total Medical Medicare Allowed Amount 38049.87
Total Medical Medicare Payment Amount 36329.89
Total Medical Medicare Standardized Payment Amount 36756.66
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 235
Number Of Beneficiaries Age 65 to 74 152
Number Of Beneficiaries Age 75 to 84 73
Number Of Beneficiaries Age Greater 84 25
Number Of Female Beneficiaries 287
Number Of Male Beneficiaries 198
Number Of Non Hispanic White Beneficiaries 334
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 183
Number Of Beneficiaries With Medicare Medicaid Entitlement 302
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 8
Percent Of With Cancer 5
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 31
Percent Of With Depression 34
Percent Of With Diabetes 48
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.2349

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