Medicare Facts for Dr. Gordon H. Downie, MD


National Provider Identifier [NPI]: 1275534992
Last Name Of The Provider DOWNIE
First Name Of The Provider GORDON
Middle Initial Of The Provider H
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 301 W 18TH ST STE 101
Street Address 2 Of The Provider
City Of The Provider MT PLEASANT
Zip Code Of The Provider 754552370
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 53
Number Of Services 3841
Number Of Medicare Beneficiaries 665
Total Submitted Charge Amount 796642.67
Total Medicare Allowed Amount 324707.25
Total Medicare Payment Amount 242438.42
Total Medicare Standardized Payment Amount 271024.56
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 29
Number Of Medicare Beneficiaries With Drug Services 17
Total Drug Submitted ChargeAmount 383
Total Drug Medicare AllowedAmount 75.7
Total Drug Medicare PaymentAmount 59.33
Total Drug Medicare Standardized Payment Amount 59.33
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 51
Number Of Medical Services 3812
Number Of Medicare Beneficiaries With Medical Services 665
Total Medical Submitted Charge Amount 796259.67
Total Medical Medicare Allowed Amount 324631.55
Total Medical Medicare Payment Amount 242379.09
Total Medical Medicare Standardized Payment Amount 270965.23
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 91
Number Of Beneficiaries Age 65 to 74 258
Number Of Beneficiaries Age 75 to 84 220
Number Of Beneficiaries Age Greater 84 96
Number Of Female Beneficiaries 365
Number Of Male Beneficiaries 300
Number Of Non Hispanic White Beneficiaries 584
Number Of Black or African American Beneficiaries 61
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 509
Number Of Beneficiaries With Medicare Medicaid Entitlement 156
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 31
Percent Of With Cancer 17
Percent Of With Heart Failure 51
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 63
Percent Of With Depression 29
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.7828

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