National Provider Identifier [NPI]: |
1114907292 |
Last Name Of The Provider |
MEHEGAN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
540 E JEFFERSON ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
IOWA CITY |
Zip Code Of The Provider |
522452477 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
3909 |
Number Of Medicare Beneficiaries |
1944 |
Total Submitted Charge Amount |
931345 |
Total Medicare Allowed Amount |
373079.53 |
Total Medicare Payment Amount |
272246.19 |
Total Medicare Standardized Payment Amount |
294112.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
14760 |
Total Drug Medicare AllowedAmount |
8684.51 |
Total Drug Medicare PaymentAmount |
6808.62 |
Total Drug Medicare Standardized Payment Amount |
6808.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3745 |
Number Of Medicare Beneficiaries With Medical Services |
1944 |
Total Medical Submitted Charge Amount |
916585 |
Total Medical Medicare Allowed Amount |
364395.02 |
Total Medical Medicare Payment Amount |
265437.57 |
Total Medical Medicare Standardized Payment Amount |
287303.45 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
706 |
Number Of Beneficiaries Age 75 to 84 |
692 |
Number Of Beneficiaries Age Greater 84 |
445 |
Number Of Female Beneficiaries |
968 |
Number Of Male Beneficiaries |
976 |
Number Of Non Hispanic White Beneficiaries |
1885 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1764 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1676 |