National Provider Identifier [NPI]: |
1316937972 |
Last Name Of The Provider |
FLEMING |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1307 AVON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAYETTEVILLE |
Zip Code Of The Provider |
283044423 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
6643 |
Number Of Medicare Beneficiaries |
755 |
Total Submitted Charge Amount |
496835.72 |
Total Medicare Allowed Amount |
305917.19 |
Total Medicare Payment Amount |
234442.53 |
Total Medicare Standardized Payment Amount |
245184.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
202 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
7027 |
Total Drug Medicare AllowedAmount |
5688.86 |
Total Drug Medicare PaymentAmount |
5538.74 |
Total Drug Medicare Standardized Payment Amount |
5538.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
6441 |
Number Of Medicare Beneficiaries With Medical Services |
755 |
Total Medical Submitted Charge Amount |
489808.72 |
Total Medical Medicare Allowed Amount |
300228.33 |
Total Medical Medicare Payment Amount |
228903.79 |
Total Medical Medicare Standardized Payment Amount |
239645.65 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
459 |
Number Of Male Beneficiaries |
296 |
Number Of Non Hispanic White Beneficiaries |
490 |
Number Of Black or African American Beneficiaries |
231 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4737 |