National Provider Identifier [NPI]: |
1205869526 |
Last Name Of The Provider |
MCGUIRE |
First Name Of The Provider |
DANIEL |
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 |
7270 BOYNTON BEACH BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
33437 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
18615 |
Number Of Medicare Beneficiaries |
1758 |
Total Submitted Charge Amount |
2310943 |
Total Medicare Allowed Amount |
698653.71 |
Total Medicare Payment Amount |
533242.09 |
Total Medicare Standardized Payment Amount |
508229.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11007 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
55084 |
Total Drug Medicare AllowedAmount |
2070.98 |
Total Drug Medicare PaymentAmount |
1621.9 |
Total Drug Medicare Standardized Payment Amount |
1621.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
7608 |
Number Of Medicare Beneficiaries With Medical Services |
1758 |
Total Medical Submitted Charge Amount |
2255859 |
Total Medical Medicare Allowed Amount |
696582.73 |
Total Medical Medicare Payment Amount |
531620.19 |
Total Medical Medicare Standardized Payment Amount |
506607.9 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
631 |
Number Of Beneficiaries Age 75 to 84 |
795 |
Number Of Beneficiaries Age Greater 84 |
290 |
Number Of Female Beneficiaries |
1041 |
Number Of Male Beneficiaries |
717 |
Number Of Non Hispanic White Beneficiaries |
1702 |
Number Of Black or African American Beneficiaries |
15 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3779 |