National Provider Identifier [NPI]: |
1689679979 |
Last Name Of The Provider |
DOWNIE |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2950 CURVE CREST BLVD W |
Street Address 2 Of The Provider |
|
City Of The Provider |
STILLWATER |
Zip Code Of The Provider |
550825085 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
7544 |
Number Of Medicare Beneficiaries |
877 |
Total Submitted Charge Amount |
4272412 |
Total Medicare Allowed Amount |
2088303.71 |
Total Medicare Payment Amount |
1608768.06 |
Total Medicare Standardized Payment Amount |
1609850.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4446 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
2663135 |
Total Drug Medicare AllowedAmount |
1765735.25 |
Total Drug Medicare PaymentAmount |
1378550.81 |
Total Drug Medicare Standardized Payment Amount |
1378550.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3098 |
Number Of Medicare Beneficiaries With Medical Services |
877 |
Total Medical Submitted Charge Amount |
1609277 |
Total Medical Medicare Allowed Amount |
322568.46 |
Total Medical Medicare Payment Amount |
230217.25 |
Total Medical Medicare Standardized Payment Amount |
231299.97 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
335 |
Number Of Beneficiaries Age Greater 84 |
230 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
380 |
Number Of Non Hispanic White Beneficiaries |
861 |
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 |
819 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1955 |