National Provider Identifier [NPI]: |
1932104932 |
Last Name Of The Provider |
CARNEY |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
117 MEDICAL CIRCLE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
75751 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
7326 |
Number Of Medicare Beneficiaries |
545 |
Total Submitted Charge Amount |
510061.5 |
Total Medicare Allowed Amount |
274050.72 |
Total Medicare Payment Amount |
206897.68 |
Total Medicare Standardized Payment Amount |
213851.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
1229 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
30488 |
Total Drug Medicare AllowedAmount |
9962.55 |
Total Drug Medicare PaymentAmount |
8532.39 |
Total Drug Medicare Standardized Payment Amount |
8532.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
6097 |
Number Of Medicare Beneficiaries With Medical Services |
545 |
Total Medical Submitted Charge Amount |
479573.5 |
Total Medical Medicare Allowed Amount |
264088.17 |
Total Medical Medicare Payment Amount |
198365.29 |
Total Medical Medicare Standardized Payment Amount |
205318.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
242 |
Number Of Non Hispanic White Beneficiaries |
497 |
Number Of Black or African American Beneficiaries |
24 |
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 |
451 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2542 |