Medicare Facts for Dr. Michael K. MacDonald, MD


National Provider Identifier [NPI]: 1144398512
Last Name Of The Provider MACDONALD
First Name Of The Provider MICHAEL
Middle Initial Of The Provider K
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 50 S SAN MATEO DR
Street Address 2 Of The Provider SUITE 200
City Of The Provider SAN MATEO
Zip Code Of The Provider 944013857
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 3929
Number Of Medicare Beneficiaries 1209
Total Submitted Charge Amount 401468.79
Total Medicare Allowed Amount 398018.51
Total Medicare Payment Amount 278722.12
Total Medicare Standardized Payment Amount 225074.34
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 21
Number Of Medical Services 3929
Number Of Medicare Beneficiaries With Medical Services 1209
Total Medical Submitted Charge Amount 401468.79
Total Medical Medicare Allowed Amount 398018.51
Total Medical Medicare Payment Amount 278722.12
Total Medical Medicare Standardized Payment Amount 225074.34
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74 503
Number Of Beneficiaries Age 75 to 84 428
Number Of Beneficiaries Age Greater 84 258
Number Of Female Beneficiaries 747
Number Of Male Beneficiaries 462
Number Of Non Hispanic White Beneficiaries 954
Number Of Black or African American Beneficiaries 22
Number Of AsianPacific Islander Beneficiaries 124
Number Of Hispanic Beneficiaries 70
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 39
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 5
Percent Of With Cancer 10
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 10
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.9782

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