National Provider Identifier [NPI]: |
1376545145 |
Last Name Of The Provider |
RIFKIN |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
S |
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 |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
20274 |
Number Of Medicare Beneficiaries |
886 |
Total Submitted Charge Amount |
3420245 |
Total Medicare Allowed Amount |
902874.59 |
Total Medicare Payment Amount |
689637.69 |
Total Medicare Standardized Payment Amount |
784420.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
16758 |
Number Of Medicare Beneficiaries With Drug Services |
267 |
Total Drug Submitted ChargeAmount |
43297 |
Total Drug Medicare AllowedAmount |
8481.12 |
Total Drug Medicare PaymentAmount |
6486.17 |
Total Drug Medicare Standardized Payment Amount |
6486.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3516 |
Number Of Medicare Beneficiaries With Medical Services |
884 |
Total Medical Submitted Charge Amount |
3376948 |
Total Medical Medicare Allowed Amount |
894393.47 |
Total Medical Medicare Payment Amount |
683151.52 |
Total Medical Medicare Standardized Payment Amount |
777934.33 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
387 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
458 |
Number Of Male Beneficiaries |
428 |
Number Of Non Hispanic White Beneficiaries |
367 |
Number Of Black or African American Beneficiaries |
501 |
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 |
385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
501 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
6.2924 |