National Provider Identifier [NPI]: |
1124073788 |
Last Name Of The Provider |
EVANS |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
342 COX BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHEFFIELD |
Zip Code Of The Provider |
356604020 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
224 |
Number Of Services |
16364 |
Number Of Medicare Beneficiaries |
914 |
Total Submitted Charge Amount |
1112139.2 |
Total Medicare Allowed Amount |
676380.61 |
Total Medicare Payment Amount |
500815.8 |
Total Medicare Standardized Payment Amount |
552326.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
1629 |
Number Of Medicare Beneficiaries With Drug Services |
334 |
Total Drug Submitted ChargeAmount |
35318.2 |
Total Drug Medicare AllowedAmount |
10296.53 |
Total Drug Medicare PaymentAmount |
8504.88 |
Total Drug Medicare Standardized Payment Amount |
8504.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
206 |
Number Of Medical Services |
14735 |
Number Of Medicare Beneficiaries With Medical Services |
914 |
Total Medical Submitted Charge Amount |
1076821 |
Total Medical Medicare Allowed Amount |
666084.08 |
Total Medical Medicare Payment Amount |
492310.92 |
Total Medical Medicare Standardized Payment Amount |
543822 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
273 |
Number Of Beneficiaries Age 65 to 74 |
296 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
532 |
Number Of Male Beneficiaries |
382 |
Number Of Non Hispanic White Beneficiaries |
759 |
Number Of Black or African American Beneficiaries |
142 |
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 |
554 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
360 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3484 |