National Provider Identifier [NPI]: |
1982789335 |
Last Name Of The Provider |
BRIAN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 PILOT MEDICAL DRIVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352353404 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
9937 |
Number Of Medicare Beneficiaries |
1434 |
Total Submitted Charge Amount |
934298 |
Total Medicare Allowed Amount |
460003.85 |
Total Medicare Payment Amount |
339319.2 |
Total Medicare Standardized Payment Amount |
376671.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4473 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
37962 |
Total Drug Medicare AllowedAmount |
17617.53 |
Total Drug Medicare PaymentAmount |
13393.13 |
Total Drug Medicare Standardized Payment Amount |
13393.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
5464 |
Number Of Medicare Beneficiaries With Medical Services |
1434 |
Total Medical Submitted Charge Amount |
896336 |
Total Medical Medicare Allowed Amount |
442386.32 |
Total Medical Medicare Payment Amount |
325926.07 |
Total Medical Medicare Standardized Payment Amount |
363278.72 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
559 |
Number Of Beneficiaries Age 75 to 84 |
495 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
735 |
Number Of Male Beneficiaries |
699 |
Number Of Non Hispanic White Beneficiaries |
1314 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1248 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.4838 |