Dr. Mary Ann R Domingo

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Mary Ann R Domingo
Gender:	F
Provider License Number If Given:	01061323A

NPI Information:

NPI:	1053396127
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/13/2005
Last Update Date:	4/1/2021
Reputation Report:

Provider Business Mailing Address:

Address:	710 N NILES AVE South Bend, IN 46617
Phone Number:	5746471610
Fax Number:

Provider Business Practice Location Address:

Address:	6901 N MAIN ST STE 102 Granger, IN 46530
Phone Number:	5746474500
Fax Number:	5746476354

Provider Taxonomy:

Primary:	207RR0500X
Secondary (if any):
State:	IN

Top Doctors in IN

About Dr. Mary Ann R Domingo

Dr. Mary Ann R Domingo (DR. MARY ANN R DOMINGO ) is An Internal Medicine Physician in Granger, IN. The NPI Number for Dr. Mary Ann R Domingo is 1053396127.

The current location address for Dr. Mary Ann R Domingo is 6901 N MAIN ST STE 102 Granger, IN 46530 and the contact number is 5746471610 and fax number is . The mailing address for Dr. Mary Ann R Domingo is 710 N NILES AVE South Bend, IN 46617- 5746474500 (mailing address contact number - 5746471610).

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Mary Ann R Domingo ?

Answer: The NPI Number for Dr. Mary Ann R Domingo is 1053396127

Where is Dr. Mary Ann R Domingo located?

Answer: Dr. Mary Ann R Domingo is located at 6901 N MAIN ST STE 102 Granger, IN 46530.

What is the specialty for Dr. Mary Ann R Domingo ?

Answer: The Specialty of Dr. Mary Ann R Domingo is An Internal Medicine Physician.

Are there any online reviews for Dr. Mary Ann R Domingo ?

Answer: Yes! Check It Now.

Are there any other health care providers in Granger, IN?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Mary Ann R Domingo

Number of HCPCS	39
Number of Medicare Beneficiaries	580
Number of Services	145206
Total Submitted Charge Amount	5723515.5
Total Medicare Allowed Amount	2135181.98
Total Medicare Payment Amount	1686674.43
Total Medicare Standardized Payment Amount	1669513.21
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	20
Number of Medicare Beneficiaries With Drug Services	260
Number of Drug Services	142856
Total Drug Submitted Charge Amount	5250601.5
Total Drug Medicare Allowed Amount	1935205.9
Total Drug Medicare Payment Amount	1543805.64
Total Drug Medicare Standardized Payment Amount	1513324.63
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	19
Number of Medicare Beneficiaries With Medical	577
Number of Medical Services	2350
Total Medical Submitted Charge Amount	472914
Total Medical Medicare Allowed Amount	199976.08
Total Medical Medicare Payment Amount	142868.79
Total Medical Medicare Standardized Payment Amount	156188.58
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65	64
Number of Beneficiaries Age 65 to 74	277
Number of Beneficiaries Age 75 to 84	179
Number of Beneficiaries Age Greater 84	60
Number of Female Beneficiaries	442
Number of Male Beneficiaries	138
Number of Non-Hispanic White Beneficiaries	531
Number of Black or African American Beneficiaries	28
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	62
Number of Beneficiaries With Medicare Only Entitlement	518
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.07
Percent (%) of Beneficiaries Identified With Asthma	0.09
Percent (%) of Beneficiaries Identified With Cancer	0.09
Percent (%) of Beneficiaries Identified With Heart Failure	0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.27
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.14
Percent (%) of Beneficiaries Identified With Depression	0.29
Percent (%) of Beneficiaries Identified With Diabetes	0.24
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.53
Percent (%) of Beneficiaries Identified With Hypertension	0.62
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.29
Percent (%) of Beneficiaries Identified With Osteoporosis	0.43
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.04
Average HCC Risk Score of Beneficiaries	1.2955

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Rheumatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	5782
Number of Standardized 30-Day Fills	11435.866667
Aggregate Cost Paid for All Claims	2788430.15
Number of Day's Supply for All Claims	335660
Number of Medicare Beneficiaries	724
Number of Claims, Including Refills, for Beneficiaries Age 65+	4434
Including Refills, for Beneficiaries Age 65+	9077.2333333
Beneficiaries Age 65+	1476765.36
Number of Day's Supply for All Claims for Beneficaries Age 65+	266260
Number of Medicare Beneficiaries Age 65+	615
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	656
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	5098
Aggregate Cost Paid for Generic Drugs	201490.13
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	28
Aggregate Cost Paid for Other Drugs	2195.21
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	2850
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	1611441.69
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	2932
Aggregate Cost Paid for Claims Filled by	1176988.46
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1634
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	2029418.97
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	4148
by Low-Income Subsidy	759011.18
Total Claims of Opioid Drugs, Including	868
Aggregate Cost Paid for Opioid Drugs	26655.73
Opioid Claims	136
Opioid_Tot_Clms divided by the Tot_Clms	15.012106538
Total Claims of Long-Acting Opioid Drugs	19
Aggregate Cost Paid for Long-Acting Opioid	9136.17
Number of Day's Supply of All Long-Acting	570
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	2.1889400922
Total Claims of Antibiotic Drugs, Including	58
Aggregate Cost Paid for Antibiotic Drugs	6685.63
Antibiotic Claims	23
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	71.738950276
Number of Beneficiaries Age Less Than 65	109
Number of Beneficiaries Age 65 to 74	343
Number of Beneficiaries Age 75 to 84	213
Number of Female Beneficiaries	542
Number of Male Beneficiaries	182
Number of Non-Hispanic White	625
Number of Black or African American	59
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	19
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not	15
Only Entitlement	597
Average Hierarchical Condition Category	1.3767926671

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