National Provider Identifier [NPI]: |
1336118884 |
Last Name Of The Provider |
MCGETRICK |
First Name Of The Provider |
JOHN |
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 |
635 1ST ST N |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINTER HAVEN |
Zip Code Of The Provider |
338814129 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
5455 |
Number Of Medicare Beneficiaries |
1474 |
Total Submitted Charge Amount |
1199852.9 |
Total Medicare Allowed Amount |
592988.44 |
Total Medicare Payment Amount |
436145.52 |
Total Medicare Standardized Payment Amount |
418505.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
975 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
7554 |
Total Drug Medicare AllowedAmount |
5055.83 |
Total Drug Medicare PaymentAmount |
4014.35 |
Total Drug Medicare Standardized Payment Amount |
4014.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4480 |
Number Of Medicare Beneficiaries With Medical Services |
1474 |
Total Medical Submitted Charge Amount |
1192298.9 |
Total Medical Medicare Allowed Amount |
587932.61 |
Total Medical Medicare Payment Amount |
432131.17 |
Total Medical Medicare Standardized Payment Amount |
414490.99 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
606 |
Number Of Beneficiaries Age 75 to 84 |
566 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
867 |
Number Of Male Beneficiaries |
607 |
Number Of Non Hispanic White Beneficiaries |
1327 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1357 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1965 |