Medicare Facts for Dr. Pedro E. McDougal, MD


National Provider Identifier [NPI]: 1144275355
Last Name Of The Provider MCDOUGAL
First Name Of The Provider PEDRO
Middle Initial Of The Provider E
Credentials Of The Provider M.D. F.A.C.P.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1010 JAMES ST
Street Address 2 Of The Provider
City Of The Provider WESLACO
Zip Code Of The Provider 785966654
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 81
Number Of Services 29551
Number Of Medicare Beneficiaries 2266
Total Submitted Charge Amount 2504032
Total Medicare Allowed Amount 1550464.25
Total Medicare Payment Amount 1158116.9
Total Medicare Standardized Payment Amount 1212528.63
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 7555
Number Of Medicare Beneficiaries With Drug Services 1135
Total Drug Submitted ChargeAmount 150920
Total Drug Medicare AllowedAmount 20811.51
Total Drug Medicare PaymentAmount 18968.49
Total Drug Medicare Standardized Payment Amount 18968.49
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 74
Number Of Medical Services 21996
Number Of Medicare Beneficiaries With Medical Services 2266
Total Medical Submitted Charge Amount 2353112
Total Medical Medicare Allowed Amount 1529652.74
Total Medical Medicare Payment Amount 1139148.41
Total Medical Medicare Standardized Payment Amount 1193560.14
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 347
Number Of Beneficiaries Age 65 to 74 732
Number Of Beneficiaries Age 75 to 84 783
Number Of Beneficiaries Age Greater 84 404
Number Of Female Beneficiaries 1306
Number Of Male Beneficiaries 960
Number Of Non Hispanic White Beneficiaries 598
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 1649
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 824
Number Of Beneficiaries With Medicare Medicaid Entitlement 1442
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 27
Percent Of With Asthma 7
Percent Of With Cancer 7
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 44
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 62
Percent Of With Diabetes 72
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 47
Percent Of With Osteoporosis 20
Percent Of With Rheumatoid Arthritis Osteoarthritis 54
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.9642

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