National Provider Identifier [NPI]: |
1285665505 |
Last Name Of The Provider |
MCGILL |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8150 OAKLANDON ROAD |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462369554 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
2545 |
Number Of Medicare Beneficiaries |
407 |
Total Submitted Charge Amount |
204802 |
Total Medicare Allowed Amount |
138827.98 |
Total Medicare Payment Amount |
95230.13 |
Total Medicare Standardized Payment Amount |
101205.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
897 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
30842 |
Total Drug Medicare AllowedAmount |
17034.11 |
Total Drug Medicare PaymentAmount |
14568.9 |
Total Drug Medicare Standardized Payment Amount |
14568.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1648 |
Number Of Medicare Beneficiaries With Medical Services |
406 |
Total Medical Submitted Charge Amount |
173960 |
Total Medical Medicare Allowed Amount |
121793.87 |
Total Medical Medicare Payment Amount |
80661.23 |
Total Medical Medicare Standardized Payment Amount |
86636.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
374 |
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 |
383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8772 |