Medicare Facts for Toni R. McGinnis, NP


National Provider Identifier [NPI]: 1891057964
Last Name Of The Provider MCGINNIS
First Name Of The Provider TONI
Middle Initial Of The Provider R
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2825 N KANSAS EXPY
Street Address 2 Of The Provider
City Of The Provider SPRINGFIELD
Zip Code Of The Provider 658031017
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 188
Number Of Medicare Beneficiaries 118
Total Submitted Charge Amount 12524
Total Medicare Allowed Amount 7499.43
Total Medicare Payment Amount 5168.7
Total Medicare Standardized Payment Amount 6942.91
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 25
Number Of Medicare Beneficiaries With Drug Services 25
Total Drug Submitted ChargeAmount 544
Total Drug Medicare AllowedAmount 470.7
Total Drug Medicare PaymentAmount 456.95
Total Drug Medicare Standardized Payment Amount 456.95
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 14
Number Of Medical Services 163
Number Of Medicare Beneficiaries With Medical Services 118
Total Medical Submitted Charge Amount 11980
Total Medical Medicare Allowed Amount 7028.73
Total Medical Medicare Payment Amount 4711.75
Total Medical Medicare Standardized Payment Amount 6485.96
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 54
Number Of Beneficiaries Age 75 to 84 34
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 67
Number Of Male Beneficiaries 51
Number Of Non Hispanic White Beneficiaries
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 106
Number Of Beneficiaries With Medicare Medicaid Entitlement 12
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 15
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8782

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