Medicare Facts for Dr. Mark W. Bonner, MD


National Provider Identifier [NPI]: 1811961600
Last Name Of The Provider BONNER
First Name Of The Provider MARK
Middle Initial Of The Provider W
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1157 FORSYTH ST
Street Address 2 Of The Provider
City Of The Provider MACON
Zip Code Of The Provider 31201
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 71
Number Of Services 1982
Number Of Medicare Beneficiaries 598
Total Submitted Charge Amount 192747.37
Total Medicare Allowed Amount 153016.43
Total Medicare Payment Amount 84080.47
Total Medicare Standardized Payment Amount 123985.61
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 105
Number Of Beneficiaries Age 65 to 74 322
Number Of Beneficiaries Age 75 to 84 132
Number Of Beneficiaries Age Greater 84 39
Number Of Female Beneficiaries 249
Number Of Male Beneficiaries 349
Number Of Non Hispanic White Beneficiaries 527
Number Of Black or African American Beneficiaries 55
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 548
Number Of Beneficiaries With Medicare Medicaid Entitlement 50
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 6
Percent Of With Cancer 9
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 16
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9915

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