Medicare Facts for Dr. Michael A. McGuire, MD


National Provider Identifier [NPI]: 1043356066
Last Name Of The Provider MCGUIRE
First Name Of The Provider MICHAEL
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 770 W LINCOLN HWY
Street Address 2 Of The Provider
City Of The Provider EXTON
Zip Code Of The Provider 193412547
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 59
Number Of Services 1351
Number Of Medicare Beneficiaries 261
Total Submitted Charge Amount 152524
Total Medicare Allowed Amount 115858.78
Total Medicare Payment Amount 83877.27
Total Medicare Standardized Payment Amount 79841.25
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 126
Number Of Medicare Beneficiaries With Drug Services 114
Total Drug Submitted ChargeAmount 7020
Total Drug Medicare AllowedAmount 4864
Total Drug Medicare PaymentAmount 4688.24
Total Drug Medicare Standardized Payment Amount 4688.24
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 50
Number Of Medical Services 1225
Number Of Medicare Beneficiaries With Medical Services 261
Total Medical Submitted Charge Amount 145504
Total Medical Medicare Allowed Amount 110994.78
Total Medical Medicare Payment Amount 79189.03
Total Medical Medicare Standardized Payment Amount 75153.01
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 57
Number Of Beneficiaries Age 65 to 74 113
Number Of Beneficiaries Age 75 to 84 59
Number Of Beneficiaries Age Greater 84 32
Number Of Female Beneficiaries 157
Number Of Male Beneficiaries 104
Number Of Non Hispanic White Beneficiaries 232
Number Of Black or African American Beneficiaries 11
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 214
Number Of Beneficiaries With Medicare Medicaid Entitlement 47
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 8
Percent Of With Cancer 9
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 26
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.1101

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