National Provider Identifier [NPI]: |
1477528990 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1118 ROSS CLARK CIR |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
DOTHAN |
Zip Code Of The Provider |
363013001 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
12738 |
Number Of Medicare Beneficiaries |
1823 |
Total Submitted Charge Amount |
693460.09 |
Total Medicare Allowed Amount |
516369.06 |
Total Medicare Payment Amount |
400929.12 |
Total Medicare Standardized Payment Amount |
429901.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1603 |
Number Of Medicare Beneficiaries With Drug Services |
243 |
Total Drug Submitted ChargeAmount |
32356 |
Total Drug Medicare AllowedAmount |
22021.9 |
Total Drug Medicare PaymentAmount |
18075.5 |
Total Drug Medicare Standardized Payment Amount |
18075.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
11135 |
Number Of Medicare Beneficiaries With Medical Services |
1823 |
Total Medical Submitted Charge Amount |
661104.09 |
Total Medical Medicare Allowed Amount |
494347.16 |
Total Medical Medicare Payment Amount |
382853.62 |
Total Medical Medicare Standardized Payment Amount |
411825.82 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
409 |
Number Of Beneficiaries Age 65 to 74 |
662 |
Number Of Beneficiaries Age 75 to 84 |
547 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
1022 |
Number Of Male Beneficiaries |
801 |
Number Of Non Hispanic White Beneficiaries |
1382 |
Number Of Black or African American Beneficiaries |
409 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1250 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
573 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7757 |