Medicare Facts for Dr. Paul T. Nugent, MD


National Provider Identifier [NPI]: 1720034077
Last Name Of The Provider NUGENT
First Name Of The Provider PAUL
Middle Initial Of The Provider J
Credentials Of The Provider M.D
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 8405 N FRESNO ST
Street Address 2 Of The Provider SUITE 110
City Of The Provider FRESNO
Zip Code Of The Provider 937201537
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 62
Number Of Services 11801.9
Number Of Medicare Beneficiaries 363
Total Submitted Charge Amount 582714.91
Total Medicare Allowed Amount 468915.23
Total Medicare Payment Amount 356898.85
Total Medicare Standardized Payment Amount 292104.72
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 3603.9
Number Of Medicare Beneficiaries With Drug Services 190
Total Drug Submitted ChargeAmount 23423.46
Total Drug Medicare AllowedAmount 21552.85
Total Drug Medicare PaymentAmount 16868.45
Total Drug Medicare Standardized Payment Amount 16868.45
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 54
Number Of Medical Services 8198
Number Of Medicare Beneficiaries With Medical Services 363
Total Medical Submitted Charge Amount 559291.45
Total Medical Medicare Allowed Amount 447362.38
Total Medical Medicare Payment Amount 340030.4
Total Medical Medicare Standardized Payment Amount 275236.27
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 79
Number Of Beneficiaries Age 65 to 74 158
Number Of Beneficiaries Age 75 to 84 90
Number Of Beneficiaries Age Greater 84 36
Number Of Female Beneficiaries 237
Number Of Male Beneficiaries 126
Number Of Non Hispanic White Beneficiaries 207
Number Of Black or African American Beneficiaries 22
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 115
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 200
Number Of Beneficiaries With Medicare Medicaid Entitlement 163
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 14
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 20
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 24
Percent Of With Rheumatoid Arthritis Osteoarthritis 73
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0416

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