Medicare Facts for Dr. John C. Downey, DDS


National Provider Identifier [NPI]: 1104884246
Last Name Of The Provider DOWNEY
First Name Of The Provider JOHN
Middle Initial Of The Provider M
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2922 PROFESSIONAL PKWY
Street Address 2 Of The Provider STE A
City Of The Provider AUGUSTA
Zip Code Of The Provider 309076528
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Physical Medicine and Rehabilitation
Medicare Participation Indicator Y
Number Of HCPCS 49
Number Of Services 22025
Number Of Medicare Beneficiaries 867
Total Submitted Charge Amount 1656918.47
Total Medicare Allowed Amount 754864.29
Total Medicare Payment Amount 535925.26
Total Medicare Standardized Payment Amount 577358.88
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 6592
Number Of Medicare Beneficiaries With Drug Services 500
Total Drug Submitted ChargeAmount 14808.5
Total Drug Medicare AllowedAmount 7092.68
Total Drug Medicare PaymentAmount 5295.73
Total Drug Medicare Standardized Payment Amount 5295.73
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 46
Number Of Medical Services 15433
Number Of Medicare Beneficiaries With Medical Services 867
Total Medical Submitted Charge Amount 1642109.97
Total Medical Medicare Allowed Amount 747771.61
Total Medical Medicare Payment Amount 530629.53
Total Medical Medicare Standardized Payment Amount 572063.15
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 432
Number Of Beneficiaries Age 65 to 74 286
Number Of Beneficiaries Age 75 to 84 121
Number Of Beneficiaries Age Greater 84 28
Number Of Female Beneficiaries 556
Number Of Male Beneficiaries 311
Number Of Non Hispanic White Beneficiaries 674
Number Of Black or African American Beneficiaries 175
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 743
Number Of Beneficiaries With Medicare Medicaid Entitlement 124
Percent Of With Atrial Fibrillation 4
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 4
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 32
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.1652

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