National Provider Identifier [NPI]: |
1194718155 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1518 N BRINDLEE MOUNTAIN PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
ARAB |
Zip Code Of The Provider |
350165723 |
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 |
50 |
Number Of Services |
6199 |
Number Of Medicare Beneficiaries |
1033 |
Total Submitted Charge Amount |
426944 |
Total Medicare Allowed Amount |
319402.19 |
Total Medicare Payment Amount |
226131.21 |
Total Medicare Standardized Payment Amount |
245845.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1105 |
Number Of Medicare Beneficiaries With Drug Services |
381 |
Total Drug Submitted ChargeAmount |
27482 |
Total Drug Medicare AllowedAmount |
18399.81 |
Total Drug Medicare PaymentAmount |
17502.81 |
Total Drug Medicare Standardized Payment Amount |
17502.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5094 |
Number Of Medicare Beneficiaries With Medical Services |
1033 |
Total Medical Submitted Charge Amount |
399462 |
Total Medical Medicare Allowed Amount |
301002.38 |
Total Medical Medicare Payment Amount |
208628.4 |
Total Medical Medicare Standardized Payment Amount |
228342.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
431 |
Number Of Beneficiaries Age 75 to 84 |
359 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
596 |
Number Of Male Beneficiaries |
437 |
Number Of Non Hispanic White Beneficiaries |
1017 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
852 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1923 |