Medicare Facts for Dr. Deidre D. Crocker, MD


National Provider Identifier [NPI]: 1790947117
Last Name Of The Provider CROCKER
First Name Of The Provider DEIDRE
Middle Initial Of The Provider D
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2390 WALL ST SE
Street Address 2 Of The Provider
City Of The Provider CONYERS
Zip Code Of The Provider 300132150
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Allergy/Immunology
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 2681.5
Number Of Medicare Beneficiaries 117
Total Submitted Charge Amount 97888
Total Medicare Allowed Amount 50411.31
Total Medicare Payment Amount 37315.28
Total Medicare Standardized Payment Amount 37108.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 683.5
Number Of Medicare Beneficiaries With Drug Services 14
Total Drug Submitted ChargeAmount 29310
Total Drug Medicare AllowedAmount 17874.27
Total Drug Medicare PaymentAmount 13917.12
Total Drug Medicare Standardized Payment Amount 13917.12
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 1998
Number Of Medicare Beneficiaries With Medical Services 117
Total Medical Submitted Charge Amount 68578
Total Medical Medicare Allowed Amount 32537.04
Total Medical Medicare Payment Amount 23398.16
Total Medical Medicare Standardized Payment Amount 23191.75
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 58
Number Of Beneficiaries Age 75 to 84 29
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 76
Number Of Male Beneficiaries 41
Number Of Non Hispanic White Beneficiaries 70
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 94
Number Of Beneficiaries With Medicare Medicaid Entitlement 23
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 32
Percent Of With Cancer
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 21
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 19
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9812

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