National Provider Identifier [NPI]: |
1912960238 |
Last Name Of The Provider |
RAGLAND |
First Name Of The Provider |
DARRELL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
415 E MATTHEWS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
724013142 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
7366 |
Number Of Medicare Beneficiaries |
965 |
Total Submitted Charge Amount |
415568.5 |
Total Medicare Allowed Amount |
274094.23 |
Total Medicare Payment Amount |
199586.59 |
Total Medicare Standardized Payment Amount |
220022.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
900 |
Number Of Medicare Beneficiaries With Drug Services |
382 |
Total Drug Submitted ChargeAmount |
30582 |
Total Drug Medicare AllowedAmount |
26416.26 |
Total Drug Medicare PaymentAmount |
24725.95 |
Total Drug Medicare Standardized Payment Amount |
24725.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
6466 |
Number Of Medicare Beneficiaries With Medical Services |
965 |
Total Medical Submitted Charge Amount |
384986.5 |
Total Medical Medicare Allowed Amount |
247677.97 |
Total Medical Medicare Payment Amount |
174860.64 |
Total Medical Medicare Standardized Payment Amount |
195296.63 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
258 |
Number Of Beneficiaries Age 65 to 74 |
445 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
585 |
Number Of Male Beneficiaries |
380 |
Number Of Non Hispanic White Beneficiaries |
877 |
Number Of Black or African American Beneficiaries |
71 |
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 |
701 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2055 |