National Provider Identifier [NPI]: |
1043266919 |
Last Name Of The Provider |
EWAYS |
First Name Of The Provider |
ERIK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6701 AIRPORT BLVD |
Street Address 2 Of The Provider |
SUITE D-330 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366086705 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
6368 |
Number Of Medicare Beneficiaries |
1354 |
Total Submitted Charge Amount |
787695.5 |
Total Medicare Allowed Amount |
399330.87 |
Total Medicare Payment Amount |
301461.53 |
Total Medicare Standardized Payment Amount |
324495.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2365 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
10805.5 |
Total Drug Medicare AllowedAmount |
6663.12 |
Total Drug Medicare PaymentAmount |
5223.89 |
Total Drug Medicare Standardized Payment Amount |
5223.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
4003 |
Number Of Medicare Beneficiaries With Medical Services |
1354 |
Total Medical Submitted Charge Amount |
776890 |
Total Medical Medicare Allowed Amount |
392667.75 |
Total Medical Medicare Payment Amount |
296237.64 |
Total Medical Medicare Standardized Payment Amount |
319271.47 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
317 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
361 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
683 |
Number Of Male Beneficiaries |
671 |
Number Of Non Hispanic White Beneficiaries |
838 |
Number Of Black or African American Beneficiaries |
503 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
967 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.132 |