Medicare Facts for Dr. Sean G. Downing, MD


National Provider Identifier [NPI]: 1063402030
Last Name Of The Provider DOWNING
First Name Of The Provider SEAN
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 5350 UNIVERSITY PKWY
Street Address 2 Of The Provider 101
City Of The Provider SARASOTA
Zip Code Of The Provider 342435812
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 50
Number Of Services 2851
Number Of Medicare Beneficiaries 719
Total Submitted Charge Amount 430099
Total Medicare Allowed Amount 269900.16
Total Medicare Payment Amount 193343.37
Total Medicare Standardized Payment Amount 196270.72
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 201
Number Of Medicare Beneficiaries With Drug Services 173
Total Drug Submitted ChargeAmount 10277
Total Drug Medicare AllowedAmount 5922.83
Total Drug Medicare PaymentAmount 5677.78
Total Drug Medicare Standardized Payment Amount 5677.78
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 40
Number Of Medical Services 2650
Number Of Medicare Beneficiaries With Medical Services 719
Total Medical Submitted Charge Amount 419822
Total Medical Medicare Allowed Amount 263977.33
Total Medical Medicare Payment Amount 187665.59
Total Medical Medicare Standardized Payment Amount 190592.94
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 31
Number Of Beneficiaries Age 65 to 74 346
Number Of Beneficiaries Age 75 to 84 228
Number Of Beneficiaries Age Greater 84 114
Number Of Female Beneficiaries 353
Number Of Male Beneficiaries 366
Number Of Non Hispanic White Beneficiaries 691
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 14
Number Of Beneficiaries With Medicare Only Entitlement 696
Number Of Beneficiaries With Medicare Medicaid Entitlement 23
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 7
Percent Of With Cancer 12
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 15
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 71
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0677

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