Medicare Facts for Dr. John A. Billon, MD


National Provider Identifier [NPI]: 1083714653
Last Name Of The Provider BILLON
First Name Of The Provider JOHN
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 281 E MAIN ST
Street Address 2 Of The Provider
City Of The Provider RISING SUN
Zip Code Of The Provider 219111819
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 2295
Number Of Medicare Beneficiaries 499
Total Submitted Charge Amount 295890
Total Medicare Allowed Amount 147008.24
Total Medicare Payment Amount 101254.83
Total Medicare Standardized Payment Amount 99986.41
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 289
Number Of Medicare Beneficiaries With Drug Services 140
Total Drug Submitted ChargeAmount 5721
Total Drug Medicare AllowedAmount 3975.67
Total Drug Medicare PaymentAmount 3849.98
Total Drug Medicare Standardized Payment Amount 3849.98
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 2006
Number Of Medicare Beneficiaries With Medical Services 499
Total Medical Submitted Charge Amount 290169
Total Medical Medicare Allowed Amount 143032.57
Total Medical Medicare Payment Amount 97404.85
Total Medical Medicare Standardized Payment Amount 96136.43
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 63
Number Of Beneficiaries Age 65 to 74 237
Number Of Beneficiaries Age 75 to 84 144
Number Of Beneficiaries Age Greater 84 55
Number Of Female Beneficiaries 302
Number Of Male Beneficiaries 197
Number Of Non Hispanic White Beneficiaries 476
Number Of Black or African American Beneficiaries 12
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 442
Number Of Beneficiaries With Medicare Medicaid Entitlement 57
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 8
Percent Of With Cancer 8
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 15
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 2
Average HCC Risk Score Of Beneficiaries 0.9771

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