National Provider Identifier [NPI]: |
1790766418 |
Last Name Of The Provider |
MCGINNIS |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1675 WOODBROOKE DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALISBURY |
Zip Code Of The Provider |
21804 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
7560 |
Number Of Medicare Beneficiaries |
1304 |
Total Submitted Charge Amount |
1536504.3 |
Total Medicare Allowed Amount |
656856.45 |
Total Medicare Payment Amount |
492824.77 |
Total Medicare Standardized Payment Amount |
474386.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2702 |
Number Of Medicare Beneficiaries With Drug Services |
877 |
Total Drug Submitted ChargeAmount |
394898.3 |
Total Drug Medicare AllowedAmount |
242274.81 |
Total Drug Medicare PaymentAmount |
185126.61 |
Total Drug Medicare Standardized Payment Amount |
185126.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
4858 |
Number Of Medicare Beneficiaries With Medical Services |
1304 |
Total Medical Submitted Charge Amount |
1141606 |
Total Medical Medicare Allowed Amount |
414581.64 |
Total Medical Medicare Payment Amount |
307698.16 |
Total Medical Medicare Standardized Payment Amount |
289260.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
592 |
Number Of Beneficiaries Age 75 to 84 |
411 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
840 |
Number Of Male Beneficiaries |
464 |
Number Of Non Hispanic White Beneficiaries |
1094 |
Number Of Black or African American Beneficiaries |
183 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1110 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0911 |