Medicare Facts for Dr. Paul A. Metcalf, MD


National Provider Identifier [NPI]: 1336287333
Last Name Of The Provider METCALF
First Name Of The Provider PAUL
Middle Initial Of The Provider A
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6420 THE CEDARS CT
Street Address 2 Of The Provider
City Of The Provider CEDAR HILL
Zip Code Of The Provider 630162222
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 64
Number Of Services 1456
Number Of Medicare Beneficiaries 347
Total Submitted Charge Amount 225782
Total Medicare Allowed Amount 93269.75
Total Medicare Payment Amount 61302.99
Total Medicare Standardized Payment Amount 64032.9
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 332
Number Of Medicare Beneficiaries With Drug Services 80
Total Drug Submitted ChargeAmount 7315
Total Drug Medicare AllowedAmount 4522.15
Total Drug Medicare PaymentAmount 3866.47
Total Drug Medicare Standardized Payment Amount 3866.47
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 55
Number Of Medical Services 1124
Number Of Medicare Beneficiaries With Medical Services 347
Total Medical Submitted Charge Amount 218467
Total Medical Medicare Allowed Amount 88747.6
Total Medical Medicare Payment Amount 57436.52
Total Medical Medicare Standardized Payment Amount 60166.43
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 109
Number Of Beneficiaries Age 65 to 74 127
Number Of Beneficiaries Age 75 to 84 63
Number Of Beneficiaries Age Greater 84 48
Number Of Female Beneficiaries 181
Number Of Male Beneficiaries 166
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 226
Number Of Beneficiaries With Medicare Medicaid Entitlement 121
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 20
Percent Of With Asthma 5
Percent Of With Cancer 9
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 48
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 1.5048

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