National Provider Identifier [NPI]: |
1386646362 |
Last Name Of The Provider |
MCKAY |
First Name Of The Provider |
DAVID |
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 |
2931 RICHMOND RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TEXARKANA |
Zip Code Of The Provider |
755032125 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
6700 |
Number Of Medicare Beneficiaries |
678 |
Total Submitted Charge Amount |
378585.5 |
Total Medicare Allowed Amount |
135177.34 |
Total Medicare Payment Amount |
98830.51 |
Total Medicare Standardized Payment Amount |
103945.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1960 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
9852.5 |
Total Drug Medicare AllowedAmount |
3860.01 |
Total Drug Medicare PaymentAmount |
3321.41 |
Total Drug Medicare Standardized Payment Amount |
3321.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
4740 |
Number Of Medicare Beneficiaries With Medical Services |
678 |
Total Medical Submitted Charge Amount |
368733 |
Total Medical Medicare Allowed Amount |
131317.33 |
Total Medical Medicare Payment Amount |
95509.1 |
Total Medical Medicare Standardized Payment Amount |
100623.95 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
323 |
Number Of Beneficiaries Age 75 to 84 |
224 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
576 |
Number Of Black or African American Beneficiaries |
91 |
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 |
631 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.921 |