National Provider Identifier [NPI]: |
1659323426 |
Last Name Of The Provider |
MCGLYNN |
First Name Of The Provider |
FRED |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1501 MAPLE AVE |
Street Address 2 Of The Provider |
NW MOB SUITE 200 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232262553 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
4841 |
Number Of Medicare Beneficiaries |
848 |
Total Submitted Charge Amount |
1645523.5 |
Total Medicare Allowed Amount |
432270.6 |
Total Medicare Payment Amount |
325265.37 |
Total Medicare Standardized Payment Amount |
331132.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1592 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
29543.5 |
Total Drug Medicare AllowedAmount |
11786.74 |
Total Drug Medicare PaymentAmount |
9131.43 |
Total Drug Medicare Standardized Payment Amount |
9131.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3249 |
Number Of Medicare Beneficiaries With Medical Services |
848 |
Total Medical Submitted Charge Amount |
1615980 |
Total Medical Medicare Allowed Amount |
420483.86 |
Total Medical Medicare Payment Amount |
316133.94 |
Total Medical Medicare Standardized Payment Amount |
322001.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
571 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
737 |
Number Of Black or African American Beneficiaries |
94 |
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 |
809 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9015 |