Medicare Facts for Dr. Paul W. Toma, DO


National Provider Identifier [NPI]: 1629073903
Last Name Of The Provider TOMA
First Name Of The Provider PAUL
Middle Initial Of The Provider W
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 444 FOUR STATES DR
Street Address 2 Of The Provider SUITE 1
City Of The Provider GALENA
Zip Code Of The Provider 667394324
State Code Of The Provider KS
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 84
Number Of Services 4594
Number Of Medicare Beneficiaries 385
Total Submitted Charge Amount 752353
Total Medicare Allowed Amount 199644.47
Total Medicare Payment Amount 150043.39
Total Medicare Standardized Payment Amount 160197.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 3275
Number Of Medicare Beneficiaries With Drug Services 122
Total Drug Submitted ChargeAmount 98008
Total Drug Medicare AllowedAmount 39261.81
Total Drug Medicare PaymentAmount 29679.16
Total Drug Medicare Standardized Payment Amount 29679.16
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 82
Number Of Medical Services 1319
Number Of Medicare Beneficiaries With Medical Services 385
Total Medical Submitted Charge Amount 654345
Total Medical Medicare Allowed Amount 160382.66
Total Medical Medicare Payment Amount 120364.23
Total Medical Medicare Standardized Payment Amount 130518.29
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 65
Number Of Beneficiaries Age 65 to 74 182
Number Of Beneficiaries Age 75 to 84 106
Number Of Beneficiaries Age Greater 84 32
Number Of Female Beneficiaries 209
Number Of Male Beneficiaries 176
Number Of Non Hispanic White Beneficiaries 361
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 13
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 328
Number Of Beneficiaries With Medicare Medicaid Entitlement 57
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 11
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 22
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 73
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9841

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