Medicare Facts for Dr. Brian E. Michael, MD


National Provider Identifier [NPI]: 1942237722
Last Name Of The Provider MICHAEL
First Name Of The Provider BRIAN
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 40 V TWIN DR
Street Address 2 Of The Provider SUITE 205
City Of The Provider GETTYSBURG
Zip Code Of The Provider 173257875
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 2551
Number Of Medicare Beneficiaries 515
Total Submitted Charge Amount 231158
Total Medicare Allowed Amount 164501.08
Total Medicare Payment Amount 119413.58
Total Medicare Standardized Payment Amount 126590.28
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 1095
Number Of Medicare Beneficiaries With Drug Services 24
Total Drug Submitted ChargeAmount 47828
Total Drug Medicare AllowedAmount 35738.93
Total Drug Medicare PaymentAmount 27397.55
Total Drug Medicare Standardized Payment Amount 27397.55
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 1456
Number Of Medicare Beneficiaries With Medical Services 515
Total Medical Submitted Charge Amount 183330
Total Medical Medicare Allowed Amount 128762.15
Total Medical Medicare Payment Amount 92016.03
Total Medical Medicare Standardized Payment Amount 99192.73
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 91
Number Of Beneficiaries Age 65 to 74 220
Number Of Beneficiaries Age 75 to 84 158
Number Of Beneficiaries Age Greater 84 46
Number Of Female Beneficiaries 350
Number Of Male Beneficiaries 165
Number Of Non Hispanic White Beneficiaries 491
Number Of Black or African American Beneficiaries 12
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
Number Of Beneficiaries With Medicare Only Entitlement 451
Number Of Beneficiaries With Medicare Medicaid Entitlement 64
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 10
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 23
Percent Of With Diabetes 47
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 19
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.3624

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