National Provider Identifier [NPI]: |
1902914872 |
Last Name Of The Provider |
FLICKINGER |
First Name Of The Provider |
BRENT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
961 SMOKY MOUNTAIN SPRINGS LANE NE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
30501 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
95964 |
Number Of Medicare Beneficiaries |
692 |
Total Submitted Charge Amount |
4609646 |
Total Medicare Allowed Amount |
2412056.82 |
Total Medicare Payment Amount |
1851614.7 |
Total Medicare Standardized Payment Amount |
1868335.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
91278 |
Number Of Medicare Beneficiaries With Drug Services |
305 |
Total Drug Submitted ChargeAmount |
3903570 |
Total Drug Medicare AllowedAmount |
2120180.31 |
Total Drug Medicare PaymentAmount |
1638903.34 |
Total Drug Medicare Standardized Payment Amount |
1638903.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
4686 |
Number Of Medicare Beneficiaries With Medical Services |
692 |
Total Medical Submitted Charge Amount |
706076 |
Total Medical Medicare Allowed Amount |
291876.51 |
Total Medical Medicare Payment Amount |
212711.36 |
Total Medical Medicare Standardized Payment Amount |
229432.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
198 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
205 |
Number Of Non Hispanic White Beneficiaries |
630 |
Number Of Black or African American Beneficiaries |
47 |
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 |
565 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2965 |