Medicare Facts for Dr. Donald M. Downer, MD


National Provider Identifier [NPI]: 1588777833
Last Name Of The Provider DOWNER
First Name Of The Provider DONALD
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2023 PROFESSIONAL DR.
Street Address 2 Of The Provider
City Of The Provider ORANGE PARK
Zip Code Of The Provider 320734468
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 79
Number Of Services 6218
Number Of Medicare Beneficiaries 1334
Total Submitted Charge Amount 1495768
Total Medicare Allowed Amount 895501.43
Total Medicare Payment Amount 662087.13
Total Medicare Standardized Payment Amount 676772.21
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 470
Number Of Medicare Beneficiaries With Drug Services 14
Total Drug Submitted ChargeAmount 6173
Total Drug Medicare AllowedAmount 2433.23
Total Drug Medicare PaymentAmount 1900.44
Total Drug Medicare Standardized Payment Amount 1900.44
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 77
Number Of Medical Services 5748
Number Of Medicare Beneficiaries With Medical Services 1334
Total Medical Submitted Charge Amount 1489595
Total Medical Medicare Allowed Amount 893068.2
Total Medical Medicare Payment Amount 660186.69
Total Medical Medicare Standardized Payment Amount 674871.77
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 78
Number Of Beneficiaries Age 65 to 74 663
Number Of Beneficiaries Age 75 to 84 438
Number Of Beneficiaries Age Greater 84 155
Number Of Female Beneficiaries 823
Number Of Male Beneficiaries 511
Number Of Non Hispanic White Beneficiaries 1174
Number Of Black or African American Beneficiaries 75
Number Of AsianPacific Islander Beneficiaries 23
Number Of Hispanic Beneficiaries 46
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1229
Number Of Beneficiaries With Medicare Medicaid Entitlement 105
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 17
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.1351

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