Medicare Facts for Dr. Douglas S. Buffington, DO


National Provider Identifier [NPI]: 1346280088
Last Name Of The Provider BUFFINGTON
First Name Of The Provider DOUGLAS
Middle Initial Of The Provider S
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 289 S MARKET ST
Street Address 2 Of The Provider
City Of The Provider ELYSBURG
Zip Code Of The Provider 178249737
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 70
Number Of Services 1465
Number Of Medicare Beneficiaries 338
Total Submitted Charge Amount 259571.25
Total Medicare Allowed Amount 137410.3
Total Medicare Payment Amount 99832.74
Total Medicare Standardized Payment Amount 105906.85
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 126
Number Of Medicare Beneficiaries With Drug Services 62
Total Drug Submitted ChargeAmount 2692.25
Total Drug Medicare AllowedAmount 1880.42
Total Drug Medicare PaymentAmount 1803.07
Total Drug Medicare Standardized Payment Amount 1803.07
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 59
Number Of Medical Services 1339
Number Of Medicare Beneficiaries With Medical Services 338
Total Medical Submitted Charge Amount 256879
Total Medical Medicare Allowed Amount 135529.88
Total Medical Medicare Payment Amount 98029.67
Total Medical Medicare Standardized Payment Amount 104103.78
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 98
Number Of Beneficiaries Age 65 to 74 151
Number Of Beneficiaries Age 75 to 84 66
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 179
Number Of Male Beneficiaries 159
Number Of Non Hispanic White Beneficiaries 327
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
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 228
Number Of Beneficiaries With Medicare Medicaid Entitlement 110
Percent Of With Atrial Fibrillation 4
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 7
Percent Of With Cancer 6
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 22
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1193

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