Medicare Facts for Dr. Michael W. Falcone, MD


National Provider Identifier [NPI]: 1134121452
Last Name Of The Provider FALCONE
First Name Of The Provider MICHAEL
Middle Initial Of The Provider W
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 7125 NEW SANGER AVENUE
Street Address 2 Of The Provider STE A
City Of The Provider WACO
Zip Code Of The Provider 767124054
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 95
Number Of Services 24129
Number Of Medicare Beneficiaries 2789
Total Submitted Charge Amount 8432103.74
Total Medicare Allowed Amount 1001899.29
Total Medicare Payment Amount 755832.85
Total Medicare Standardized Payment Amount 834725.24
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 18767
Number Of Medicare Beneficiaries With Drug Services 98
Total Drug Submitted ChargeAmount 164359
Total Drug Medicare AllowedAmount 4291.81
Total Drug Medicare PaymentAmount 3364.76
Total Drug Medicare Standardized Payment Amount 3364.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 92
Number Of Medical Services 5362
Number Of Medicare Beneficiaries With Medical Services 2789
Total Medical Submitted Charge Amount 8267744.74
Total Medical Medicare Allowed Amount 997607.48
Total Medical Medicare Payment Amount 752468.09
Total Medical Medicare Standardized Payment Amount 831360.48
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 420
Number Of Beneficiaries Age 65 to 74 998
Number Of Beneficiaries Age 75 to 84 915
Number Of Beneficiaries Age Greater 84 456
Number Of Female Beneficiaries 1450
Number Of Male Beneficiaries 1339
Number Of Non Hispanic White Beneficiaries 2292
Number Of Black or African American Beneficiaries 296
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 178
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 11
Number Of Beneficiaries With Medicare Only Entitlement 2145
Number Of Beneficiaries With Medicare Medicaid Entitlement 644
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 40
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 25
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 64
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.5677

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