National Provider Identifier [NPI]: |
1881642627 |
Last Name Of The Provider |
MCGARRY |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10 TOWER DR |
Street Address 2 Of The Provider |
DEAN MEDICAL CENTER |
City Of The Provider |
SUN PRAIRIE |
Zip Code Of The Provider |
535901239 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
889 |
Number Of Medicare Beneficiaries |
109 |
Total Submitted Charge Amount |
109386 |
Total Medicare Allowed Amount |
24061.39 |
Total Medicare Payment Amount |
18672.66 |
Total Medicare Standardized Payment Amount |
22272.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
162 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1006 |
Total Drug Medicare AllowedAmount |
445.03 |
Total Drug Medicare PaymentAmount |
427.08 |
Total Drug Medicare Standardized Payment Amount |
427.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
727 |
Number Of Medicare Beneficiaries With Medical Services |
109 |
Total Medical Submitted Charge Amount |
108380 |
Total Medical Medicare Allowed Amount |
23616.36 |
Total Medical Medicare Payment Amount |
18245.58 |
Total Medical Medicare Standardized Payment Amount |
21845.29 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
60 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
53 |
Number Of Male Beneficiaries |
56 |
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 |
87 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7285 |