Medicare Facts for Dr. John B. Malcolm, MD


National Provider Identifier [NPI]: 1558582692
Last Name Of The Provider MALCOLM
First Name Of The Provider JOHN
Middle Initial Of The Provider B
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 225 CLEARFIELD AVE
Street Address 2 Of The Provider
City Of The Provider VIRGINIA BEACH
Zip Code Of The Provider 234621815
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 116
Number Of Services 18039
Number Of Medicare Beneficiaries 815
Total Submitted Charge Amount 1454280.96
Total Medicare Allowed Amount 676462.34
Total Medicare Payment Amount 515228.78
Total Medicare Standardized Payment Amount 523524.33
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 14035
Number Of Medicare Beneficiaries With Drug Services 66
Total Drug Submitted ChargeAmount 532496
Total Drug Medicare AllowedAmount 375323.31
Total Drug Medicare PaymentAmount 286957.13
Total Drug Medicare Standardized Payment Amount 286957.13
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 106
Number Of Medical Services 4004
Number Of Medicare Beneficiaries With Medical Services 815
Total Medical Submitted Charge Amount 921784.96
Total Medical Medicare Allowed Amount 301139.03
Total Medical Medicare Payment Amount 228271.65
Total Medical Medicare Standardized Payment Amount 236567.2
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 124
Number Of Beneficiaries Age 65 to 74 375
Number Of Beneficiaries Age 75 to 84 238
Number Of Beneficiaries Age Greater 84 78
Number Of Female Beneficiaries 191
Number Of Male Beneficiaries 624
Number Of Non Hispanic White Beneficiaries 508
Number Of Black or African American Beneficiaries 251
Number Of AsianPacific Islander Beneficiaries 24
Number Of Hispanic Beneficiaries 12
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 20
Number Of Beneficiaries With Medicare Only Entitlement 728
Number Of Beneficiaries With Medicare Medicaid Entitlement 87
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 7
Percent Of With Cancer 36
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 54
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 16
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 2.0764

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