Medicare Facts for Dr. Michael J. McNamara, MD


National Provider Identifier [NPI]: 1235220658
Last Name Of The Provider MCNAMARA
First Name Of The Provider MICHAEL
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1617 CANYON RD
Street Address 2 Of The Provider SUITE 301
City Of The Provider PINOLE
Zip Code Of The Provider 94564
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 28
Number Of Services 1340
Number Of Medicare Beneficiaries 258
Total Submitted Charge Amount 153740.96
Total Medicare Allowed Amount 107782.94
Total Medicare Payment Amount 74805.53
Total Medicare Standardized Payment Amount 69582.92
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 178
Number Of Medicare Beneficiaries With Drug Services 102
Total Drug Submitted ChargeAmount 5150.88
Total Drug Medicare AllowedAmount 1678.15
Total Drug Medicare PaymentAmount 1604.66
Total Drug Medicare Standardized Payment Amount 1604.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 20
Number Of Medical Services 1162
Number Of Medicare Beneficiaries With Medical Services 258
Total Medical Submitted Charge Amount 148590.08
Total Medical Medicare Allowed Amount 106104.79
Total Medical Medicare Payment Amount 73200.87
Total Medical Medicare Standardized Payment Amount 67978.26
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 109
Number Of Beneficiaries Age 75 to 84 85
Number Of Beneficiaries Age Greater 84 48
Number Of Female Beneficiaries 143
Number Of Male Beneficiaries 115
Number Of Non Hispanic White Beneficiaries 162
Number Of Black or African American Beneficiaries 39
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 34
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 215
Number Of Beneficiaries With Medicare Medicaid Entitlement 43
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 19
Percent Of With Asthma 8
Percent Of With Cancer 11
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 16
Percent Of With Diabetes 49
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.2238

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