Medicare Facts for Dr. Joseph F. O'Toole, MD


National Provider Identifier [NPI]: 1821093931
Last Name Of The Provider O'TOOLE
First Name Of The Provider JOSEPH
Middle Initial Of The Provider F
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5200 CENTRE AVE
Street Address 2 Of The Provider STE 703
City Of The Provider PITTSBURGH
Zip Code Of The Provider 152321327
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 1662
Number Of Medicare Beneficiaries 529
Total Submitted Charge Amount 264207.1
Total Medicare Allowed Amount 174453.84
Total Medicare Payment Amount 133709.18
Total Medicare Standardized Payment Amount 138560.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 290
Number Of Medicare Beneficiaries With Drug Services 77
Total Drug Submitted ChargeAmount 16077.1
Total Drug Medicare AllowedAmount 15163.47
Total Drug Medicare PaymentAmount 11783.08
Total Drug Medicare Standardized Payment Amount 11783.08
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 40
Number Of Medical Services 1372
Number Of Medicare Beneficiaries With Medical Services 529
Total Medical Submitted Charge Amount 248130
Total Medical Medicare Allowed Amount 159290.37
Total Medical Medicare Payment Amount 121926.1
Total Medical Medicare Standardized Payment Amount 126776.96
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 78
Number Of Beneficiaries Age 65 to 74 189
Number Of Beneficiaries Age 75 to 84 163
Number Of Beneficiaries Age Greater 84 99
Number Of Female Beneficiaries 244
Number Of Male Beneficiaries 285
Number Of Non Hispanic White Beneficiaries 441
Number Of Black or African American Beneficiaries 77
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 427
Number Of Beneficiaries With Medicare Medicaid Entitlement 102
Percent Of With Atrial Fibrillation 30
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 13
Percent Of With Cancer 18
Percent Of With Heart Failure 44
Percent Of With Chronic Kidney Disease 41
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 33
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 71
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 52
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 2.0355

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