Medicare Facts for Dr. William J. Newman, MD


National Provider Identifier [NPI]: 1396743860
Last Name Of The Provider NEWMAN
First Name Of The Provider WILLIAM
Middle Initial Of The Provider N
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3000 NEW BERN AVE
Street Address 2 Of The Provider G-100
City Of The Provider RALEIGH
Zip Code Of The Provider 276101231
State Code Of The Provider NC
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 2118
Number Of Medicare Beneficiaries 696
Total Submitted Charge Amount 1229020.5
Total Medicare Allowed Amount 285012.64
Total Medicare Payment Amount 221809.44
Total Medicare Standardized Payment Amount 232309.29
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 81
Number Of Medicare Beneficiaries With Drug Services 30
Total Drug Submitted ChargeAmount 7533
Total Drug Medicare AllowedAmount 4282.08
Total Drug Medicare PaymentAmount 3350.04
Total Drug Medicare Standardized Payment Amount 3350.04
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 53
Number Of Medical Services 2037
Number Of Medicare Beneficiaries With Medical Services 696
Total Medical Submitted Charge Amount 1221487.5
Total Medical Medicare Allowed Amount 280730.56
Total Medical Medicare Payment Amount 218459.4
Total Medical Medicare Standardized Payment Amount 228959.25
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 85
Number Of Beneficiaries Age 65 to 74 292
Number Of Beneficiaries Age 75 to 84 237
Number Of Beneficiaries Age Greater 84 82
Number Of Female Beneficiaries 349
Number Of Male Beneficiaries 347
Number Of Non Hispanic White Beneficiaries 510
Number Of Black or African American Beneficiaries 161
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 519
Number Of Beneficiaries With Medicare Medicaid Entitlement 177
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 11
Percent Of With Cancer 13
Percent Of With Heart Failure 43
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 18
Percent Of With Diabetes 55
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.5306

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