National Provider Identifier [NPI]: |
1922118173 |
Last Name Of The Provider |
SIERRA |
First Name Of The Provider |
FRANCISCO |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
499 GLOSTER CREEK VLG STE A2 |
Street Address 2 Of The Provider |
CARDIOLOGY ASSOCIATES OF NORTH MS |
City Of The Provider |
TUPELO |
Zip Code Of The Provider |
388014749 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
21109 |
Number Of Medicare Beneficiaries |
4134 |
Total Submitted Charge Amount |
3520606 |
Total Medicare Allowed Amount |
923830.1 |
Total Medicare Payment Amount |
697437.71 |
Total Medicare Standardized Payment Amount |
748762.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
12197 |
Number Of Medicare Beneficiaries With Drug Services |
387 |
Total Drug Submitted ChargeAmount |
123216 |
Total Drug Medicare AllowedAmount |
63589.99 |
Total Drug Medicare PaymentAmount |
49020.54 |
Total Drug Medicare Standardized Payment Amount |
49020.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
8912 |
Number Of Medicare Beneficiaries With Medical Services |
4134 |
Total Medical Submitted Charge Amount |
3397390 |
Total Medical Medicare Allowed Amount |
860240.11 |
Total Medical Medicare Payment Amount |
648417.17 |
Total Medical Medicare Standardized Payment Amount |
699741.67 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
707 |
Number Of Beneficiaries Age 65 to 74 |
1549 |
Number Of Beneficiaries Age 75 to 84 |
1406 |
Number Of Beneficiaries Age Greater 84 |
472 |
Number Of Female Beneficiaries |
2062 |
Number Of Male Beneficiaries |
2072 |
Number Of Non Hispanic White Beneficiaries |
3484 |
Number Of Black or African American Beneficiaries |
617 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2998 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1136 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.453 |