National Provider Identifier [NPI]: |
1205896347 |
Last Name Of The Provider |
GRUBBS |
First Name Of The Provider |
DANNY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3202 METHODIST DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
724017408 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
5237 |
Number Of Medicare Beneficiaries |
950 |
Total Submitted Charge Amount |
724910 |
Total Medicare Allowed Amount |
322992.66 |
Total Medicare Payment Amount |
228347.57 |
Total Medicare Standardized Payment Amount |
251371.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
279 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
6401 |
Total Drug Medicare AllowedAmount |
4358.52 |
Total Drug Medicare PaymentAmount |
4207.22 |
Total Drug Medicare Standardized Payment Amount |
4207.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4958 |
Number Of Medicare Beneficiaries With Medical Services |
950 |
Total Medical Submitted Charge Amount |
718509 |
Total Medical Medicare Allowed Amount |
318634.14 |
Total Medical Medicare Payment Amount |
224140.35 |
Total Medical Medicare Standardized Payment Amount |
247164.3 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
283 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
566 |
Number Of Male Beneficiaries |
384 |
Number Of Non Hispanic White Beneficiaries |
903 |
Number Of Black or African American Beneficiaries |
36 |
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 |
702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3755 |