Medicare Facts for Dr. Michael R. Baumgaertner, MD


National Provider Identifier [NPI]: 1538143532
Last Name Of The Provider BAUMGAERTNER
First Name Of The Provider MICHAEL
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 800 HOWARD AVE
Street Address 2 Of The Provider YALE PHYSICIANS BLDG-1ST FLOOR
City Of The Provider NEW HAVEN
Zip Code Of The Provider 065191369
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 83
Number Of Services 384
Number Of Medicare Beneficiaries 153
Total Submitted Charge Amount 453530
Total Medicare Allowed Amount 90152.48
Total Medicare Payment Amount 68821.84
Total Medicare Standardized Payment Amount 65979.6
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 27
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 327
Total Drug Medicare AllowedAmount 49.52
Total Drug Medicare PaymentAmount 37.44
Total Drug Medicare Standardized Payment Amount 37.44
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 81
Number Of Medical Services 357
Number Of Medicare Beneficiaries With Medical Services 153
Total Medical Submitted Charge Amount 453203
Total Medical Medicare Allowed Amount 90102.96
Total Medical Medicare Payment Amount 68784.4
Total Medical Medicare Standardized Payment Amount 65942.16
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 51
Number Of Beneficiaries Age 65 to 74 47
Number Of Beneficiaries Age 75 to 84 29
Number Of Beneficiaries Age Greater 84 26
Number Of Female Beneficiaries 105
Number Of Male Beneficiaries 48
Number Of Non Hispanic White Beneficiaries 127
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 87
Number Of Beneficiaries With Medicare Medicaid Entitlement 66
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 14
Percent Of With Cancer 14
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 34
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 19
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.7822

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