National Provider Identifier [NPI]: |
1093726333 |
Last Name Of The Provider |
CRANFILL |
First Name Of The Provider |
GENERAL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
615 E MATTHEWS |
Street Address 2 Of The Provider |
STE C |
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
72401 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
2341 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
322561 |
Total Medicare Allowed Amount |
164017.2 |
Total Medicare Payment Amount |
104712.6 |
Total Medicare Standardized Payment Amount |
120493.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
163 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
3400 |
Total Drug Medicare AllowedAmount |
184.87 |
Total Drug Medicare PaymentAmount |
117.6 |
Total Drug Medicare Standardized Payment Amount |
117.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2178 |
Number Of Medicare Beneficiaries With Medical Services |
482 |
Total Medical Submitted Charge Amount |
319161 |
Total Medical Medicare Allowed Amount |
163832.33 |
Total Medical Medicare Payment Amount |
104595 |
Total Medical Medicare Standardized Payment Amount |
120375.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
466 |
Number Of Black or African American Beneficiaries |
|
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 |
410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0364 |