National Provider Identifier [NPI]: |
1629191168 |
Last Name Of The Provider |
KING |
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 |
48 MEDICAL PARK DR E |
Street Address 2 Of The Provider |
SUITE 453 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352353400 |
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 |
93 |
Number Of Services |
4048 |
Number Of Medicare Beneficiaries |
1298 |
Total Submitted Charge Amount |
610970.1 |
Total Medicare Allowed Amount |
330165.92 |
Total Medicare Payment Amount |
248763.02 |
Total Medicare Standardized Payment Amount |
270836.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
420 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
21579.6 |
Total Drug Medicare AllowedAmount |
17884.42 |
Total Drug Medicare PaymentAmount |
13854.31 |
Total Drug Medicare Standardized Payment Amount |
13854.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
3628 |
Number Of Medicare Beneficiaries With Medical Services |
1298 |
Total Medical Submitted Charge Amount |
589390.5 |
Total Medical Medicare Allowed Amount |
312281.5 |
Total Medical Medicare Payment Amount |
234908.71 |
Total Medical Medicare Standardized Payment Amount |
256981.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
213 |
Number Of Beneficiaries Age 65 to 74 |
437 |
Number Of Beneficiaries Age 75 to 84 |
411 |
Number Of Beneficiaries Age Greater 84 |
237 |
Number Of Female Beneficiaries |
718 |
Number Of Male Beneficiaries |
580 |
Number Of Non Hispanic White Beneficiaries |
1091 |
Number Of Black or African American Beneficiaries |
186 |
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 |
1021 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
277 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8338 |