Medicare Facts for Dr. Edmund J. Maclaughlin, MD


National Provider Identifier [NPI]: 1912966268
Last Name Of The Provider MACLAUGHLIN
First Name Of The Provider EDMUND
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 10 AURORA ST
Street Address 2 Of The Provider
City Of The Provider CAMBRIDGE
Zip Code Of The Provider 216131902
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 48
Number Of Services 113833
Number Of Medicare Beneficiaries 1217
Total Submitted Charge Amount 3660791.68
Total Medicare Allowed Amount 2559812.2
Total Medicare Payment Amount 1977972.69
Total Medicare Standardized Payment Amount 1968009.03
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 17
Number Of Drug Services 108658
Number Of Medicare Beneficiaries With Drug Services 272
Total Drug Submitted ChargeAmount 2967759.68
Total Drug Medicare AllowedAmount 2196462.3
Total Drug Medicare PaymentAmount 1704659.66
Total Drug Medicare Standardized Payment Amount 1704659.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 5175
Number Of Medicare Beneficiaries With Medical Services 1216
Total Medical Submitted Charge Amount 693032
Total Medical Medicare Allowed Amount 363349.9
Total Medical Medicare Payment Amount 273313.03
Total Medical Medicare Standardized Payment Amount 263349.37
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 145
Number Of Beneficiaries Age 65 to 74 597
Number Of Beneficiaries Age 75 to 84 364
Number Of Beneficiaries Age Greater 84 111
Number Of Female Beneficiaries 915
Number Of Male Beneficiaries 302
Number Of Non Hispanic White Beneficiaries 1071
Number Of Black or African American Beneficiaries 125
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 1058
Number Of Beneficiaries With Medicare Medicaid Entitlement 159
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 7
Percent Of With Cancer 8
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 16
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 30
Percent Of With Rheumatoid Arthritis Osteoarthritis 62
Percent Of With Schizophrenia Other PsychoticDisorders 1
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.0379

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