National Provider Identifier [NPI]: |
1023099835 |
Last Name Of The Provider |
SLATTERY |
First Name Of The Provider |
MICHAEL |
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 |
1214 SOUTH GRANT ROAD |
Street Address 2 Of The Provider |
MCFARLAND CLINIC PC |
City Of The Provider |
CARROLL |
Zip Code Of The Provider |
514013047 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
170 |
Number Of Services |
5664 |
Number Of Medicare Beneficiaries |
584 |
Total Submitted Charge Amount |
421938.5 |
Total Medicare Allowed Amount |
204478.39 |
Total Medicare Payment Amount |
149225.14 |
Total Medicare Standardized Payment Amount |
158984.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
652 |
Number Of Medicare Beneficiaries With Drug Services |
203 |
Total Drug Submitted ChargeAmount |
12591 |
Total Drug Medicare AllowedAmount |
9658.58 |
Total Drug Medicare PaymentAmount |
8883.99 |
Total Drug Medicare Standardized Payment Amount |
8883.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
5012 |
Number Of Medicare Beneficiaries With Medical Services |
584 |
Total Medical Submitted Charge Amount |
409347.5 |
Total Medical Medicare Allowed Amount |
194819.81 |
Total Medical Medicare Payment Amount |
140341.15 |
Total Medical Medicare Standardized Payment Amount |
150100.24 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
320 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
516 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0084 |