Medicare Facts for Dr. Cynthia M. Miracle, MD


National Provider Identifier [NPI]: 1700976636
Last Name Of The Provider MIRACLE
First Name Of The Provider CYNTHIA
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3350 LA JOLLA VILLAGE DR
Street Address 2 Of The Provider 9111
City Of The Provider SAN DIEGO
Zip Code Of The Provider 921610002
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 480
Number Of Medicare Beneficiaries 152
Total Submitted Charge Amount 185187
Total Medicare Allowed Amount 82245.59
Total Medicare Payment Amount 63262.84
Total Medicare Standardized Payment Amount 62408.57
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 17
Number Of Medical Services 480
Number Of Medicare Beneficiaries With Medical Services 152
Total Medical Submitted Charge Amount 185187
Total Medical Medicare Allowed Amount 82245.59
Total Medical Medicare Payment Amount 63262.84
Total Medical Medicare Standardized Payment Amount 62408.57
Average Age Of Beneficiaries 61
Number Of Beneficiaries Age Less65 81
Number Of Beneficiaries Age 65 to 74 44
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 67
Number Of Male Beneficiaries 85
Number Of Non Hispanic White Beneficiaries 51
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 19
Number Of Hispanic Beneficiaries 59
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 62
Number Of Beneficiaries With Medicare Medicaid Entitlement 90
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 11
Percent Of With Cancer
Percent Of With Heart Failure 39
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 24
Percent Of With Diabetes 60
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 24
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 4.6469

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