Medicare Facts for Dr. Thomas E. Downs, MD


National Provider Identifier [NPI]: 1174558381
Last Name Of The Provider DOWNS
First Name Of The Provider THOMAS
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1001 COAL AVE SE
Street Address 2 Of The Provider
City Of The Provider ALBUQUERQUE
Zip Code Of The Provider 871065205
State Code Of The Provider NM
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 399
Number Of Medicare Beneficiaries 128
Total Submitted Charge Amount 54343
Total Medicare Allowed Amount 32734.37
Total Medicare Payment Amount 25416.49
Total Medicare Standardized Payment Amount 27613.4
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 14
Number Of Medical Services 399
Number Of Medicare Beneficiaries With Medical Services 128
Total Medical Submitted Charge Amount 54343
Total Medical Medicare Allowed Amount 32734.37
Total Medical Medicare Payment Amount 25416.49
Total Medical Medicare Standardized Payment Amount 27613.4
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 62
Number Of Beneficiaries Age 75 to 84 34
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 55
Number Of Male Beneficiaries 73
Number Of Non Hispanic White Beneficiaries 76
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 40
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 88
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 10
Percent Of With Cancer 50
Percent Of With Heart Failure 32
Percent Of With Chronic Kidney Disease 48
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 29
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 2.3642

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