National Provider Identifier [NPI]: |
1023091857 |
Last Name Of The Provider |
JOHNSON |
First Name Of The Provider |
DARRIN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2006 FRANKLIN ST SE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358014551 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
200 |
Number Of Services |
34056 |
Number Of Medicare Beneficiaries |
4643 |
Total Submitted Charge Amount |
2937546.68 |
Total Medicare Allowed Amount |
1201228.24 |
Total Medicare Payment Amount |
926766.58 |
Total Medicare Standardized Payment Amount |
970182.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
25970 |
Number Of Medicare Beneficiaries With Drug Services |
299 |
Total Drug Submitted ChargeAmount |
29375 |
Total Drug Medicare AllowedAmount |
6736.86 |
Total Drug Medicare PaymentAmount |
5159.6 |
Total Drug Medicare Standardized Payment Amount |
5159.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
198 |
Number Of Medical Services |
8086 |
Number Of Medicare Beneficiaries With Medical Services |
4643 |
Total Medical Submitted Charge Amount |
2908171.68 |
Total Medical Medicare Allowed Amount |
1194491.38 |
Total Medical Medicare Payment Amount |
921606.98 |
Total Medical Medicare Standardized Payment Amount |
965022.76 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
849 |
Number Of Beneficiaries Age 65 to 74 |
1708 |
Number Of Beneficiaries Age 75 to 84 |
1490 |
Number Of Beneficiaries Age Greater 84 |
596 |
Number Of Female Beneficiaries |
2688 |
Number Of Male Beneficiaries |
1955 |
Number Of Non Hispanic White Beneficiaries |
3907 |
Number Of Black or African American Beneficiaries |
662 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
3564 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1079 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8667 |