National Provider Identifier [NPI]: |
1609838077 |
Last Name Of The Provider |
BARNES |
First Name Of The Provider |
CHERYL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
119 W HILL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
THOMASVILLE |
Zip Code Of The Provider |
317926618 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
6780 |
Number Of Medicare Beneficiaries |
1071 |
Total Submitted Charge Amount |
627221 |
Total Medicare Allowed Amount |
344276.14 |
Total Medicare Payment Amount |
241902.8 |
Total Medicare Standardized Payment Amount |
263584.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
74 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
6731 |
Total Drug Medicare AllowedAmount |
4947.38 |
Total Drug Medicare PaymentAmount |
3469.07 |
Total Drug Medicare Standardized Payment Amount |
3469.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
6706 |
Number Of Medicare Beneficiaries With Medical Services |
1070 |
Total Medical Submitted Charge Amount |
620490 |
Total Medical Medicare Allowed Amount |
339328.76 |
Total Medical Medicare Payment Amount |
238433.73 |
Total Medical Medicare Standardized Payment Amount |
260115.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
557 |
Number Of Beneficiaries Age 75 to 84 |
340 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
746 |
Number Of Male Beneficiaries |
325 |
Number Of Non Hispanic White Beneficiaries |
1003 |
Number Of Black or African American Beneficiaries |
50 |
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 |
945 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9675 |