Medicare Facts for Dr. Carl M. Pafford, MD


National Provider Identifier [NPI]: 1457340622
Last Name Of The Provider PAFFORD
First Name Of The Provider CARL
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1000 S MAIN ST
Street Address 2 Of The Provider
City Of The Provider TIPTON
Zip Code Of The Provider 460729753
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 458
Number Of Medicare Beneficiaries 141
Total Submitted Charge Amount 37770
Total Medicare Allowed Amount 26453.44
Total Medicare Payment Amount 17488.16
Total Medicare Standardized Payment Amount 18861.84
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 20
Number Of Medicare Beneficiaries With Drug Services 18
Total Drug Submitted ChargeAmount 841
Total Drug Medicare AllowedAmount 497.1
Total Drug Medicare PaymentAmount 467.55
Total Drug Medicare Standardized Payment Amount 467.55
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 21
Number Of Medical Services 438
Number Of Medicare Beneficiaries With Medical Services 141
Total Medical Submitted Charge Amount 36929
Total Medical Medicare Allowed Amount 25956.34
Total Medical Medicare Payment Amount 17020.61
Total Medical Medicare Standardized Payment Amount 18394.29
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 15
Number Of Beneficiaries Age 65 to 74 80
Number Of Beneficiaries Age 75 to 84 33
Number Of Beneficiaries Age Greater 84 13
Number Of Female Beneficiaries 63
Number Of Male Beneficiaries 78
Number Of Non Hispanic White Beneficiaries 123
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 130
Number Of Beneficiaries With Medicare Medicaid Entitlement 11
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 17
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9412

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