Medicare Facts for Dr. Paul D. Metzger, MD


National Provider Identifier [NPI]: 1508927088
Last Name Of The Provider METZGER
First Name Of The Provider PAUL
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 817 S STATE HIGHWAY 49
Street Address 2 Of The Provider
City Of The Provider JACKSON
Zip Code Of The Provider 956422622
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 130
Number Of Services 3133
Number Of Medicare Beneficiaries 630
Total Submitted Charge Amount 682714.99
Total Medicare Allowed Amount 351644.34
Total Medicare Payment Amount 264023.26
Total Medicare Standardized Payment Amount 255193.82
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 458
Number Of Medicare Beneficiaries With Drug Services 237
Total Drug Submitted ChargeAmount 7189.22
Total Drug Medicare AllowedAmount 3473.55
Total Drug Medicare PaymentAmount 2648.45
Total Drug Medicare Standardized Payment Amount 2648.45
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 126
Number Of Medical Services 2675
Number Of Medicare Beneficiaries With Medical Services 630
Total Medical Submitted Charge Amount 675525.77
Total Medical Medicare Allowed Amount 348170.79
Total Medical Medicare Payment Amount 261374.81
Total Medical Medicare Standardized Payment Amount 252545.37
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 50
Number Of Beneficiaries Age 65 to 74 300
Number Of Beneficiaries Age 75 to 84 186
Number Of Beneficiaries Age Greater 84 94
Number Of Female Beneficiaries 382
Number Of Male Beneficiaries 248
Number Of Non Hispanic White Beneficiaries 590
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 27
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 575
Number Of Beneficiaries With Medicare Medicaid Entitlement 55
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 17
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 60
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9462

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