National Provider Identifier [NPI]: |
1063471217 |
Last Name Of The Provider |
MAGEE |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 GRAND AVE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
076314363 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
9408 |
Number Of Medicare Beneficiaries |
707 |
Total Submitted Charge Amount |
979395.23 |
Total Medicare Allowed Amount |
324326.81 |
Total Medicare Payment Amount |
249708.2 |
Total Medicare Standardized Payment Amount |
226481.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
4475 |
Number Of Medicare Beneficiaries With Drug Services |
291 |
Total Drug Submitted ChargeAmount |
67133.12 |
Total Drug Medicare AllowedAmount |
22438.56 |
Total Drug Medicare PaymentAmount |
21268.14 |
Total Drug Medicare Standardized Payment Amount |
21268.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
4933 |
Number Of Medicare Beneficiaries With Medical Services |
707 |
Total Medical Submitted Charge Amount |
912262.11 |
Total Medical Medicare Allowed Amount |
301888.25 |
Total Medical Medicare Payment Amount |
228440.06 |
Total Medical Medicare Standardized Payment Amount |
205213.63 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
277 |
Number Of Beneficiaries Age 75 to 84 |
225 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
504 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
161 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
579 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
39 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5311 |