National Provider Identifier [NPI]: |
1932119526 |
Last Name Of The Provider |
MCGINLEY |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
635 BELLE TERRE RD |
Street Address 2 Of The Provider |
SUITE #204 |
City Of The Provider |
PORT JEFFERSON |
Zip Code Of The Provider |
117771935 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
5628 |
Number Of Medicare Beneficiaries |
861 |
Total Submitted Charge Amount |
5945645.75 |
Total Medicare Allowed Amount |
643757.43 |
Total Medicare Payment Amount |
495935.22 |
Total Medicare Standardized Payment Amount |
417180.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1409 |
Number Of Medicare Beneficiaries With Drug Services |
256 |
Total Drug Submitted ChargeAmount |
21463 |
Total Drug Medicare AllowedAmount |
10285.02 |
Total Drug Medicare PaymentAmount |
7997.3 |
Total Drug Medicare Standardized Payment Amount |
7997.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
4219 |
Number Of Medicare Beneficiaries With Medical Services |
861 |
Total Medical Submitted Charge Amount |
5924182.75 |
Total Medical Medicare Allowed Amount |
633472.41 |
Total Medical Medicare Payment Amount |
487937.92 |
Total Medical Medicare Standardized Payment Amount |
409182.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
416 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
311 |
Number Of Non Hispanic White Beneficiaries |
813 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
805 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1134 |