Medicare Facts for Dr. Robert P. Dougherty, DO


National Provider Identifier [NPI]: 1932102241
Last Name Of The Provider DOUGHERTY
First Name Of The Provider ROBERT
Middle Initial Of The Provider P
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1279 E MAIN ST
Street Address 2 Of The Provider
City Of The Provider RIVERHEAD
Zip Code Of The Provider 119012583
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 4507
Number Of Medicare Beneficiaries 1274
Total Submitted Charge Amount 809501
Total Medicare Allowed Amount 393032.19
Total Medicare Payment Amount 294167.23
Total Medicare Standardized Payment Amount 259537.1
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 125
Number Of Medicare Beneficiaries With Drug Services 32
Total Drug Submitted ChargeAmount 18635
Total Drug Medicare AllowedAmount 6561.48
Total Drug Medicare PaymentAmount 5144.16
Total Drug Medicare Standardized Payment Amount 5144.16
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 40
Number Of Medical Services 4382
Number Of Medicare Beneficiaries With Medical Services 1274
Total Medical Submitted Charge Amount 790866
Total Medical Medicare Allowed Amount 386470.71
Total Medical Medicare Payment Amount 289023.07
Total Medical Medicare Standardized Payment Amount 254392.94
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 99
Number Of Beneficiaries Age 65 to 74 466
Number Of Beneficiaries Age 75 to 84 465
Number Of Beneficiaries Age Greater 84 244
Number Of Female Beneficiaries 636
Number Of Male Beneficiaries 638
Number Of Non Hispanic White Beneficiaries 1182
Number Of Black or African American Beneficiaries 49
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 20
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1122
Number Of Beneficiaries With Medicare Medicaid Entitlement 152
Percent Of With Atrial Fibrillation 33
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 7
Percent Of With Cancer 14
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 17
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 58
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.4699

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