Medicare Facts for Dr. Michael C. Bannach, MD


National Provider Identifier [NPI]: 1548333040
Last Name Of The Provider BANNACH
First Name Of The Provider MICHAEL
Middle Initial Of The Provider C
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 145 THUNDER DR
Street Address 2 Of The Provider
City Of The Provider VISTA
Zip Code Of The Provider 920836010
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 89
Number Of Services 5262
Number Of Medicare Beneficiaries 376
Total Submitted Charge Amount 333921.56
Total Medicare Allowed Amount 155249.87
Total Medicare Payment Amount 117245.85
Total Medicare Standardized Payment Amount 115110.49
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 42
Number Of Drug Services 4268
Number Of Medicare Beneficiaries With Drug Services 125
Total Drug Submitted ChargeAmount 194881.56
Total Drug Medicare AllowedAmount 85493.43
Total Drug Medicare PaymentAmount 67586.27
Total Drug Medicare Standardized Payment Amount 67586.27
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 47
Number Of Medical Services 994
Number Of Medicare Beneficiaries With Medical Services 376
Total Medical Submitted Charge Amount 139040
Total Medical Medicare Allowed Amount 69756.44
Total Medical Medicare Payment Amount 49659.58
Total Medical Medicare Standardized Payment Amount 47524.22
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 184
Number Of Beneficiaries Age 75 to 84 108
Number Of Beneficiaries Age Greater 84 60
Number Of Female Beneficiaries 209
Number Of Male Beneficiaries 167
Number Of Non Hispanic White Beneficiaries 327
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 16
Number Of Hispanic Beneficiaries 22
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 349
Number Of Beneficiaries With Medicare Medicaid Entitlement 27
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 5
Percent Of With Cancer 11
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 14
Percent Of With Diabetes 15
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.0083

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