National Provider Identifier [NPI]: |
1497720874 |
Last Name Of The Provider |
RICH |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
833 SAINT VINCENTS DR STE 300 |
Street Address 2 Of The Provider |
POB III |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051612 |
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 |
140 |
Number Of Services |
8872 |
Number Of Medicare Beneficiaries |
416 |
Total Submitted Charge Amount |
416146 |
Total Medicare Allowed Amount |
284987.48 |
Total Medicare Payment Amount |
223067.28 |
Total Medicare Standardized Payment Amount |
233343.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1180 |
Number Of Medicare Beneficiaries With Drug Services |
170 |
Total Drug Submitted ChargeAmount |
10789 |
Total Drug Medicare AllowedAmount |
4615.34 |
Total Drug Medicare PaymentAmount |
4319.8 |
Total Drug Medicare Standardized Payment Amount |
4319.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
7692 |
Number Of Medicare Beneficiaries With Medical Services |
416 |
Total Medical Submitted Charge Amount |
405357 |
Total Medical Medicare Allowed Amount |
280372.14 |
Total Medical Medicare Payment Amount |
218747.48 |
Total Medical Medicare Standardized Payment Amount |
229023.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
227 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
358 |
Number Of Black or African American Beneficiaries |
|
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 |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8941 |