National Provider Identifier [NPI]: |
1699840355 |
Last Name Of The Provider |
MCKOY |
First Name Of The Provider |
NORMAN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10274 LAKE ARBOR WAY |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
MITCHELLVILLE |
Zip Code Of The Provider |
20721 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
1900 |
Number Of Medicare Beneficiaries |
387 |
Total Submitted Charge Amount |
355209 |
Total Medicare Allowed Amount |
227396.51 |
Total Medicare Payment Amount |
159885.85 |
Total Medicare Standardized Payment Amount |
141438.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
571 |
Total Drug Medicare AllowedAmount |
266.2 |
Total Drug Medicare PaymentAmount |
260.91 |
Total Drug Medicare Standardized Payment Amount |
260.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1881 |
Number Of Medicare Beneficiaries With Medical Services |
387 |
Total Medical Submitted Charge Amount |
354638 |
Total Medical Medicare Allowed Amount |
227130.31 |
Total Medical Medicare Payment Amount |
159624.94 |
Total Medical Medicare Standardized Payment Amount |
141177.65 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
365 |
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 |
351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
6 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.0235 |