National Provider Identifier [NPI]: |
1821103185 |
Last Name Of The Provider |
MARTIN |
First Name Of The Provider |
ARTHUR |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
415 S 28TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394017246 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
41051 |
Number Of Medicare Beneficiaries |
1601 |
Total Submitted Charge Amount |
1620096 |
Total Medicare Allowed Amount |
481606.1 |
Total Medicare Payment Amount |
352456.63 |
Total Medicare Standardized Payment Amount |
392706.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
37018 |
Number Of Medicare Beneficiaries With Drug Services |
396 |
Total Drug Submitted ChargeAmount |
40305 |
Total Drug Medicare AllowedAmount |
7366.86 |
Total Drug Medicare PaymentAmount |
5757.07 |
Total Drug Medicare Standardized Payment Amount |
5757.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
4033 |
Number Of Medicare Beneficiaries With Medical Services |
1601 |
Total Medical Submitted Charge Amount |
1579791 |
Total Medical Medicare Allowed Amount |
474239.24 |
Total Medical Medicare Payment Amount |
346699.56 |
Total Medical Medicare Standardized Payment Amount |
386949.4 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
668 |
Number Of Beneficiaries Age 75 to 84 |
523 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
798 |
Number Of Male Beneficiaries |
803 |
Number Of Non Hispanic White Beneficiaries |
1336 |
Number Of Black or African American Beneficiaries |
245 |
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 |
1198 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
403 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5998 |