National Provider Identifier [NPI]: |
1255596458 |
Last Name Of The Provider |
MILLINGTON |
First Name Of The Provider |
BELINDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9390 THE LANDING DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOUGLASVILLE |
Zip Code Of The Provider |
301357180 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
3240 |
Number Of Medicare Beneficiaries |
353 |
Total Submitted Charge Amount |
73189.94 |
Total Medicare Allowed Amount |
71610.43 |
Total Medicare Payment Amount |
50518.04 |
Total Medicare Standardized Payment Amount |
50475.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1941 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
2162.24 |
Total Drug Medicare AllowedAmount |
1858.8 |
Total Drug Medicare PaymentAmount |
1427.65 |
Total Drug Medicare Standardized Payment Amount |
1427.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
1299 |
Number Of Medicare Beneficiaries With Medical Services |
353 |
Total Medical Submitted Charge Amount |
71027.7 |
Total Medical Medicare Allowed Amount |
69751.63 |
Total Medical Medicare Payment Amount |
49090.39 |
Total Medical Medicare Standardized Payment Amount |
49047.56 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
312 |
Number Of Black or African American Beneficiaries |
|
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 |
314 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9082 |