Medicare Facts for Dr. Guy E. McElwain, MD


National Provider Identifier [NPI]: 1629049804
Last Name Of The Provider MCELWAIN
First Name Of The Provider GUY
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 1650 HUNTINGDON PIKE
Street Address 2 Of The Provider SUITE 156
City Of The Provider MEADOWBROOK
Zip Code Of The Provider 190468004
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 55
Number Of Services 2986
Number Of Medicare Beneficiaries 465
Total Submitted Charge Amount 277894
Total Medicare Allowed Amount 232772.69
Total Medicare Payment Amount 181653.6
Total Medicare Standardized Payment Amount 164255.02
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 321
Number Of Medicare Beneficiaries With Drug Services 213
Total Drug Submitted ChargeAmount 25451
Total Drug Medicare AllowedAmount 20195.07
Total Drug Medicare PaymentAmount 19704.55
Total Drug Medicare Standardized Payment Amount 19704.55
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 48
Number Of Medical Services 2665
Number Of Medicare Beneficiaries With Medical Services 465
Total Medical Submitted Charge Amount 252443
Total Medical Medicare Allowed Amount 212577.62
Total Medical Medicare Payment Amount 161949.05
Total Medical Medicare Standardized Payment Amount 144550.47
Average Age Of Beneficiaries 78
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 142
Number Of Beneficiaries Age 75 to 84 169
Number Of Beneficiaries Age Greater 84 130
Number Of Female Beneficiaries 257
Number Of Male Beneficiaries 208
Number Of Non Hispanic White Beneficiaries 437
Number Of Black or African American Beneficiaries 11
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 436
Number Of Beneficiaries With Medicare Medicaid Entitlement 29
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 8
Percent Of With Cancer 16
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 23
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 13
Average HCC Risk Score Of Beneficiaries 1.3617

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