National Provider Identifier [NPI]: |
1679507727 |
Last Name Of The Provider |
HILL |
First Name Of The Provider |
ANN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 16TH AVE S |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352055021 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
5284 |
Number Of Medicare Beneficiaries |
1096 |
Total Submitted Charge Amount |
404604.5 |
Total Medicare Allowed Amount |
298476.68 |
Total Medicare Payment Amount |
216153.8 |
Total Medicare Standardized Payment Amount |
236024.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
191 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
6162 |
Total Drug Medicare AllowedAmount |
5207.35 |
Total Drug Medicare PaymentAmount |
4029.99 |
Total Drug Medicare Standardized Payment Amount |
4029.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
5093 |
Number Of Medicare Beneficiaries With Medical Services |
1096 |
Total Medical Submitted Charge Amount |
398442.5 |
Total Medical Medicare Allowed Amount |
293269.33 |
Total Medical Medicare Payment Amount |
212123.81 |
Total Medical Medicare Standardized Payment Amount |
231994.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
564 |
Number Of Beneficiaries Age 75 to 84 |
335 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
636 |
Number Of Male Beneficiaries |
460 |
Number Of Non Hispanic White Beneficiaries |
1036 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1043 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9304 |