National Provider Identifier [NPI]: |
1932186004 |
Last Name Of The Provider |
ALMOND |
First Name Of The Provider |
DONNA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
221 PHYSICIANS PARK |
Street Address 2 Of The Provider |
|
City Of The Provider |
POPLAR BLUFF |
Zip Code Of The Provider |
639013956 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
175 |
Number Of Services |
7204 |
Number Of Medicare Beneficiaries |
3577 |
Total Submitted Charge Amount |
599557 |
Total Medicare Allowed Amount |
228097.63 |
Total Medicare Payment Amount |
163896.78 |
Total Medicare Standardized Payment Amount |
173533.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
7204 |
Number Of Medicare Beneficiaries With Medical Services |
3577 |
Total Medical Submitted Charge Amount |
599557 |
Total Medical Medicare Allowed Amount |
228097.63 |
Total Medical Medicare Payment Amount |
163896.78 |
Total Medical Medicare Standardized Payment Amount |
173533.76 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
876 |
Number Of Beneficiaries Age 65 to 74 |
1452 |
Number Of Beneficiaries Age 75 to 84 |
940 |
Number Of Beneficiaries Age Greater 84 |
309 |
Number Of Female Beneficiaries |
2459 |
Number Of Male Beneficiaries |
1118 |
Number Of Non Hispanic White Beneficiaries |
3480 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2516 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1061 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.192 |