Medicare Facts for Dr. James C. McLoughlin, MD


National Provider Identifier [NPI]: 1447248836
Last Name Of The Provider MCLOUGHLIN
First Name Of The Provider JAMES
Middle Initial Of The Provider C
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1827 HARRISON AVE
Street Address 2 Of The Provider
City Of The Provider PANAMA CITY
Zip Code Of The Provider 324057605
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 197
Number Of Services 2858
Number Of Medicare Beneficiaries 418
Total Submitted Charge Amount 1055639.85
Total Medicare Allowed Amount 403894.57
Total Medicare Payment Amount 308427.91
Total Medicare Standardized Payment Amount 298597.66
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 397
Number Of Medicare Beneficiaries With Drug Services 84
Total Drug Submitted ChargeAmount 15008
Total Drug Medicare AllowedAmount 6603.13
Total Drug Medicare PaymentAmount 5146.71
Total Drug Medicare Standardized Payment Amount 5146.71
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 194
Number Of Medical Services 2461
Number Of Medicare Beneficiaries With Medical Services 418
Total Medical Submitted Charge Amount 1040631.85
Total Medical Medicare Allowed Amount 397291.44
Total Medical Medicare Payment Amount 303281.2
Total Medical Medicare Standardized Payment Amount 293450.95
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 181
Number Of Beneficiaries Age 75 to 84 128
Number Of Beneficiaries Age Greater 84 51
Number Of Female Beneficiaries 265
Number Of Male Beneficiaries 153
Number Of Non Hispanic White Beneficiaries 391
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 353
Number Of Beneficiaries With Medicare Medicaid Entitlement 65
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 11
Percent Of With Cancer 10
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 28
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 47
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 73
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.2601

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