Medicare Facts for Dr. Thomas E. Vaughan, MD


National Provider Identifier [NPI]: 1568570349
Last Name Of The Provider VAUGHAN
First Name Of The Provider THOMAS
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 244 WESTERN AVENUE
Street Address 2 Of The Provider
City Of The Provider SOUTH PORTLAND
Zip Code Of The Provider 041062496
State Code Of The Provider ME
Country Code Of The Provider US
Provider Type Of The Provider Plastic and Reconstructive Surgery
Medicare Participation Indicator Y
Number Of HCPCS 86
Number Of Services 867
Number Of Medicare Beneficiaries 207
Total Submitted Charge Amount 314058.1
Total Medicare Allowed Amount 103996.74
Total Medicare Payment Amount 78970.81
Total Medicare Standardized Payment Amount 73721.46
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 362
Number Of Medicare Beneficiaries With Drug Services 56
Total Drug Submitted ChargeAmount 11431
Total Drug Medicare AllowedAmount 10511.24
Total Drug Medicare PaymentAmount 8234.22
Total Drug Medicare Standardized Payment Amount 8234.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 83
Number Of Medical Services 505
Number Of Medicare Beneficiaries With Medical Services 207
Total Medical Submitted Charge Amount 302627.1
Total Medical Medicare Allowed Amount 93485.5
Total Medical Medicare Payment Amount 70736.59
Total Medical Medicare Standardized Payment Amount 65487.24
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 32
Number Of Beneficiaries Age 65 to 74 100
Number Of Beneficiaries Age 75 to 84 57
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 131
Number Of Male Beneficiaries 76
Number Of Non Hispanic White Beneficiaries
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 151
Number Of Beneficiaries With Medicare Medicaid Entitlement 56
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 8
Percent Of With Cancer 13
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 29
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9855

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