Medicare Facts for Dr. Michael A. McGuiness, MD


National Provider Identifier [NPI]: 1922057744
Last Name Of The Provider MCGUINESS
First Name Of The Provider MICHAEL
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6100 WINDHAVEN PKWY
Street Address 2 Of The Provider
City Of The Provider PLANO
Zip Code Of The Provider 750938046
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 70
Number Of Services 5654
Number Of Medicare Beneficiaries 784
Total Submitted Charge Amount 736231
Total Medicare Allowed Amount 423493.94
Total Medicare Payment Amount 310838.75
Total Medicare Standardized Payment Amount 329077.11
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 121
Number Of Medicare Beneficiaries With Drug Services 58
Total Drug Submitted ChargeAmount 27895
Total Drug Medicare AllowedAmount 22662.18
Total Drug Medicare PaymentAmount 17713.12
Total Drug Medicare Standardized Payment Amount 17713.12
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 68
Number Of Medical Services 5533
Number Of Medicare Beneficiaries With Medical Services 784
Total Medical Submitted Charge Amount 708336
Total Medical Medicare Allowed Amount 400831.76
Total Medical Medicare Payment Amount 293125.63
Total Medical Medicare Standardized Payment Amount 311363.99
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 18
Number Of Beneficiaries Age 65 to 74 550
Number Of Beneficiaries Age 75 to 84 163
Number Of Beneficiaries Age Greater 84 53
Number Of Female Beneficiaries 353
Number Of Male Beneficiaries 431
Number Of Non Hispanic White Beneficiaries 749
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 18
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 4
Percent Of With Cancer 10
Percent Of With Heart Failure 6
Percent Of With Chronic Kidney Disease 10
Percent Of With Chronic Obstructive Pulmonary Disease 4
Percent Of With Depression 13
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.7222

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