Medicare Facts for Dr. James M. McGinnis, DO


National Provider Identifier [NPI]: 1902958028
Last Name Of The Provider MCGINNIS
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 8046 OHIO RIVER ROAD
Street Address 2 Of The Provider SUITE A
City Of The Provider WHEELERSBURG
Zip Code Of The Provider 45694
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Pain Management
Medicare Participation Indicator Y
Number Of HCPCS 81
Number Of Services 7948
Number Of Medicare Beneficiaries 359
Total Submitted Charge Amount 1253125
Total Medicare Allowed Amount 540227.19
Total Medicare Payment Amount 406093.5
Total Medicare Standardized Payment Amount 422934.81
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 613
Number Of Medicare Beneficiaries With Drug Services 179
Total Drug Submitted ChargeAmount 50230
Total Drug Medicare AllowedAmount 12093.83
Total Drug Medicare PaymentAmount 9861.43
Total Drug Medicare Standardized Payment Amount 9861.43
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 70
Number Of Medical Services 7335
Number Of Medicare Beneficiaries With Medical Services 359
Total Medical Submitted Charge Amount 1202895
Total Medical Medicare Allowed Amount 528133.36
Total Medical Medicare Payment Amount 396232.07
Total Medical Medicare Standardized Payment Amount 413073.38
Average Age Of Beneficiaries 63
Number Of Beneficiaries Age Less65 189
Number Of Beneficiaries Age 65 to 74 116
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 171
Number Of Male Beneficiaries 188
Number Of Non Hispanic White Beneficiaries
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 196
Number Of Beneficiaries With Medicare Medicaid Entitlement 163
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 9
Percent Of With Cancer 7
Percent Of With Heart Failure 31
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 48
Percent Of With Depression 33
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 50
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 62
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.5163

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