National Provider Identifier [NPI]: |
1801848387 |
Last Name Of The Provider |
HAND |
First Name Of The Provider |
ALFRED |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1703 MEADOWS LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
VIDALIA |
Zip Code Of The Provider |
304748915 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
185 |
Number Of Services |
10234 |
Number Of Medicare Beneficiaries |
5752 |
Total Submitted Charge Amount |
889080 |
Total Medicare Allowed Amount |
269173.38 |
Total Medicare Payment Amount |
210514.57 |
Total Medicare Standardized Payment Amount |
201737.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
185 |
Number Of Medical Services |
10234 |
Number Of Medicare Beneficiaries With Medical Services |
5752 |
Total Medical Submitted Charge Amount |
889080 |
Total Medical Medicare Allowed Amount |
269173.38 |
Total Medical Medicare Payment Amount |
210514.57 |
Total Medical Medicare Standardized Payment Amount |
201737.26 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
332 |
Number Of Beneficiaries Age 65 to 74 |
1822 |
Number Of Beneficiaries Age 75 to 84 |
2125 |
Number Of Beneficiaries Age Greater 84 |
1473 |
Number Of Female Beneficiaries |
2964 |
Number Of Male Beneficiaries |
2788 |
Number Of Non Hispanic White Beneficiaries |
5303 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
265 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
5161 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
591 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7557 |