National Provider Identifier [NPI]: |
1891816153 |
Last Name Of The Provider |
MCGARRY |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6640 CONGO RD. |
Street Address 2 Of The Provider |
|
City Of The Provider |
BENTON |
Zip Code Of The Provider |
720196913 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
4581 |
Number Of Medicare Beneficiaries |
380 |
Total Submitted Charge Amount |
170829.5 |
Total Medicare Allowed Amount |
125234.77 |
Total Medicare Payment Amount |
88101.54 |
Total Medicare Standardized Payment Amount |
98219.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
2271.5 |
Total Drug Medicare AllowedAmount |
1249.26 |
Total Drug Medicare PaymentAmount |
1166.79 |
Total Drug Medicare Standardized Payment Amount |
1166.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
4467 |
Number Of Medicare Beneficiaries With Medical Services |
380 |
Total Medical Submitted Charge Amount |
168558 |
Total Medical Medicare Allowed Amount |
123985.51 |
Total Medical Medicare Payment Amount |
86934.75 |
Total Medical Medicare Standardized Payment Amount |
97053.12 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
250 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
363 |
Number Of Black or African American Beneficiaries |
|
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 |
286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9596 |