National Provider Identifier [NPI]: |
1023099785 |
Last Name Of The Provider |
MCLAUGHLIN |
First Name Of The Provider |
SEAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12277 DE PAUL DR |
Street Address 2 Of The Provider |
SUITE 504 |
City Of The Provider |
BRIDGETON |
Zip Code Of The Provider |
630442516 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
4325 |
Number Of Medicare Beneficiaries |
380 |
Total Submitted Charge Amount |
308686 |
Total Medicare Allowed Amount |
148220.73 |
Total Medicare Payment Amount |
112083.53 |
Total Medicare Standardized Payment Amount |
112126.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
281 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
10553 |
Total Drug Medicare AllowedAmount |
5996.48 |
Total Drug Medicare PaymentAmount |
5798.85 |
Total Drug Medicare Standardized Payment Amount |
5798.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4044 |
Number Of Medicare Beneficiaries With Medical Services |
380 |
Total Medical Submitted Charge Amount |
298133 |
Total Medical Medicare Allowed Amount |
142224.25 |
Total Medical Medicare Payment Amount |
106284.68 |
Total Medical Medicare Standardized Payment Amount |
106327.44 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
348 |
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 |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1683 |