National Provider Identifier [NPI]: |
1184647992 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
GABRUCE |
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 |
101 PROFESSIONAL LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENTERPRISE |
Zip Code Of The Provider |
363302085 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
11921 |
Number Of Medicare Beneficiaries |
778 |
Total Submitted Charge Amount |
783862.5 |
Total Medicare Allowed Amount |
482149.91 |
Total Medicare Payment Amount |
359356.71 |
Total Medicare Standardized Payment Amount |
395888.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3120 |
Number Of Medicare Beneficiaries With Drug Services |
193 |
Total Drug Submitted ChargeAmount |
62099 |
Total Drug Medicare AllowedAmount |
33554.64 |
Total Drug Medicare PaymentAmount |
26201.86 |
Total Drug Medicare Standardized Payment Amount |
26201.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
148 |
Number Of Medical Services |
8801 |
Number Of Medicare Beneficiaries With Medical Services |
778 |
Total Medical Submitted Charge Amount |
721763.5 |
Total Medical Medicare Allowed Amount |
448595.27 |
Total Medical Medicare Payment Amount |
333154.85 |
Total Medical Medicare Standardized Payment Amount |
369686.64 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
474 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
680 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
586 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
192 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1288 |