National Provider Identifier [NPI]: |
1568499754 |
Last Name Of The Provider |
PITTS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2011 COMMERCE DR N |
Street Address 2 Of The Provider |
SUITE 25 |
City Of The Provider |
PEACHTREE CITY |
Zip Code Of The Provider |
302693538 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
2274 |
Number Of Medicare Beneficiaries |
393 |
Total Submitted Charge Amount |
219311 |
Total Medicare Allowed Amount |
48604.06 |
Total Medicare Payment Amount |
34199.13 |
Total Medicare Standardized Payment Amount |
40463.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1285 |
Number Of Medicare Beneficiaries With Drug Services |
133 |
Total Drug Submitted ChargeAmount |
9149 |
Total Drug Medicare AllowedAmount |
650.62 |
Total Drug Medicare PaymentAmount |
480.35 |
Total Drug Medicare Standardized Payment Amount |
480.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
989 |
Number Of Medicare Beneficiaries With Medical Services |
393 |
Total Medical Submitted Charge Amount |
210162 |
Total Medical Medicare Allowed Amount |
47953.44 |
Total Medical Medicare Payment Amount |
33718.78 |
Total Medical Medicare Standardized Payment Amount |
39982.95 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
230 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
297 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
264 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1706 |