Medicare Facts for Dr. Paul A. Garfinkle, MD


National Provider Identifier [NPI]: 1144297060
Last Name Of The Provider GARFINKLE
First Name Of The Provider PAUL
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 985 S SAWBURG RD
Street Address 2 Of The Provider
City Of The Provider ALLIANCE
Zip Code Of The Provider 446013515
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 3107
Number Of Medicare Beneficiaries 605
Total Submitted Charge Amount 576526.11
Total Medicare Allowed Amount 380957.34
Total Medicare Payment Amount 287831.28
Total Medicare Standardized Payment Amount 295473.73
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 362
Number Of Medicare Beneficiaries With Drug Services 31
Total Drug Submitted ChargeAmount 178177
Total Drug Medicare AllowedAmount 118252.34
Total Drug Medicare PaymentAmount 92304.31
Total Drug Medicare Standardized Payment Amount 92304.31
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 37
Number Of Medical Services 2745
Number Of Medicare Beneficiaries With Medical Services 605
Total Medical Submitted Charge Amount 398349.11
Total Medical Medicare Allowed Amount 262705
Total Medical Medicare Payment Amount 195526.97
Total Medical Medicare Standardized Payment Amount 203169.42
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 51
Number Of Beneficiaries Age 65 to 74 235
Number Of Beneficiaries Age 75 to 84 189
Number Of Beneficiaries Age Greater 84 130
Number Of Female Beneficiaries 364
Number Of Male Beneficiaries 241
Number Of Non Hispanic White Beneficiaries 574
Number Of Black or African American Beneficiaries 19
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 507
Number Of Beneficiaries With Medicare Medicaid Entitlement 98
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 5
Percent Of With Cancer 9
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 22
Percent Of With Diabetes 51
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.3885

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