Medicare Facts for Dr. John E. Hale, MD


National Provider Identifier [NPI]: 1417954009
Last Name Of The Provider HALE
First Name Of The Provider JOHN
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1305 SAVANNAH RD
Street Address 2 Of The Provider SUITE 1
City Of The Provider LEWES
Zip Code Of The Provider 199581514
State Code Of The Provider DE
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 49
Number Of Services 1547
Number Of Medicare Beneficiaries 295
Total Submitted Charge Amount 145600.5
Total Medicare Allowed Amount 116380.13
Total Medicare Payment Amount 88716.26
Total Medicare Standardized Payment Amount 87114.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 231
Number Of Medicare Beneficiaries With Drug Services 164
Total Drug Submitted ChargeAmount 10232.5
Total Drug Medicare AllowedAmount 9114.49
Total Drug Medicare PaymentAmount 8742.09
Total Drug Medicare Standardized Payment Amount 8742.09
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 41
Number Of Medical Services 1316
Number Of Medicare Beneficiaries With Medical Services 294
Total Medical Submitted Charge Amount 135368
Total Medical Medicare Allowed Amount 107265.64
Total Medical Medicare Payment Amount 79974.17
Total Medical Medicare Standardized Payment Amount 78372.11
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 140
Number Of Beneficiaries Age 75 to 84 97
Number Of Beneficiaries Age Greater 84 34
Number Of Female Beneficiaries 141
Number Of Male Beneficiaries 154
Number Of Non Hispanic White Beneficiaries 276
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 273
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 5
Percent Of With Cancer 10
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 13
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9095

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