Medicare Facts for Dr. Deborah K. Mulligan, DO


National Provider Identifier [NPI]: 1881660041
Last Name Of The Provider MULLIGAN
First Name Of The Provider DEBORAH
Middle Initial Of The Provider K
Credentials Of The Provider DO
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3333 EVERGREEN DR NE
Street Address 2 Of The Provider
City Of The Provider GRAND RAPIDS
Zip Code Of The Provider 495259756
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 56
Number Of Medicare Beneficiaries 52
Total Submitted Charge Amount 81260.89
Total Medicare Allowed Amount 13563.27
Total Medicare Payment Amount 10590.51
Total Medicare Standardized Payment Amount 10783.76
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 31
Number Of Medical Services 56
Number Of Medicare Beneficiaries With Medical Services 52
Total Medical Submitted Charge Amount 81260.89
Total Medical Medicare Allowed Amount 13563.27
Total Medical Medicare Payment Amount 10590.51
Total Medical Medicare Standardized Payment Amount 10783.76
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 18
Number Of Beneficiaries Age 65 to 74 19
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 30
Number Of Male Beneficiaries 22
Number Of Non Hispanic White Beneficiaries
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 37
Number Of Beneficiaries With Medicare Medicaid Entitlement 15
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 21
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 33
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.1627

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