National Provider Identifier [NPI]: |
1972671626 |
Last Name Of The Provider |
HUXFORD |
First Name Of The Provider |
CAMERON |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
107 BRANDON ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
STARKVILLE |
Zip Code Of The Provider |
39759 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
2692 |
Number Of Medicare Beneficiaries |
709 |
Total Submitted Charge Amount |
351524.5 |
Total Medicare Allowed Amount |
204115.22 |
Total Medicare Payment Amount |
151951.92 |
Total Medicare Standardized Payment Amount |
163020.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
327 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
3875 |
Total Drug Medicare AllowedAmount |
818.54 |
Total Drug Medicare PaymentAmount |
711.26 |
Total Drug Medicare Standardized Payment Amount |
711.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2365 |
Number Of Medicare Beneficiaries With Medical Services |
709 |
Total Medical Submitted Charge Amount |
347649.5 |
Total Medical Medicare Allowed Amount |
203296.68 |
Total Medical Medicare Payment Amount |
151240.66 |
Total Medical Medicare Standardized Payment Amount |
162309.04 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
387 |
Number Of Male Beneficiaries |
322 |
Number Of Non Hispanic White Beneficiaries |
535 |
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 |
523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3403 |