National Provider Identifier [NPI]: |
1457464836 |
Last Name Of The Provider |
DOOLITTLE |
First Name Of The Provider |
GRANT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 DUFF AVE |
Street Address 2 Of The Provider |
MCFARLAND CLINIC PC |
City Of The Provider |
AMES |
Zip Code Of The Provider |
500103014 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
8974 |
Number Of Medicare Beneficiaries |
791 |
Total Submitted Charge Amount |
622953.5 |
Total Medicare Allowed Amount |
289630.43 |
Total Medicare Payment Amount |
233435.16 |
Total Medicare Standardized Payment Amount |
247684.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
283 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
7191 |
Total Drug Medicare AllowedAmount |
5694.87 |
Total Drug Medicare PaymentAmount |
5527.87 |
Total Drug Medicare Standardized Payment Amount |
5527.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
8691 |
Number Of Medicare Beneficiaries With Medical Services |
791 |
Total Medical Submitted Charge Amount |
615762.5 |
Total Medical Medicare Allowed Amount |
283935.56 |
Total Medical Medicare Payment Amount |
227907.29 |
Total Medical Medicare Standardized Payment Amount |
242157.11 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
260 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
444 |
Number Of Non Hispanic White Beneficiaries |
763 |
Number Of Black or African American Beneficiaries |
|
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 |
705 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1459 |