Medicare Facts for Dr. William G. Plunkett, MD


National Provider Identifier [NPI]: 1871553016
Last Name Of The Provider PLUNKETT
First Name Of The Provider WILLIAM
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 15813 PAUL VEGA MD DR
Street Address 2 Of The Provider SUITE 300
City Of The Provider HAMMOND
Zip Code Of The Provider 704031426
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 47
Number Of Services 4238
Number Of Medicare Beneficiaries 455
Total Submitted Charge Amount 480265.8
Total Medicare Allowed Amount 247010.87
Total Medicare Payment Amount 180401.46
Total Medicare Standardized Payment Amount 192550.18
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 607
Number Of Medicare Beneficiaries With Drug Services 181
Total Drug Submitted ChargeAmount 21537
Total Drug Medicare AllowedAmount 3693.29
Total Drug Medicare PaymentAmount 3289.44
Total Drug Medicare Standardized Payment Amount 3289.44
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 3631
Number Of Medicare Beneficiaries With Medical Services 455
Total Medical Submitted Charge Amount 458728.8
Total Medical Medicare Allowed Amount 243317.58
Total Medical Medicare Payment Amount 177112.02
Total Medical Medicare Standardized Payment Amount 189260.74
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 145
Number Of Beneficiaries Age 65 to 74 151
Number Of Beneficiaries Age 75 to 84 102
Number Of Beneficiaries Age Greater 84 57
Number Of Female Beneficiaries 254
Number Of Male Beneficiaries 201
Number Of Non Hispanic White Beneficiaries 304
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 232
Number Of Beneficiaries With Medicare Medicaid Entitlement 223
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma 8
Percent Of With Cancer 12
Percent Of With Heart Failure 38
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 32
Percent Of With Depression 37
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 71
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 56
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 1.9778

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