National Provider Identifier [NPI]: |
1912008491 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 RUBY TYLER PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354042959 |
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 |
75 |
Number Of Services |
16603 |
Number Of Medicare Beneficiaries |
1141 |
Total Submitted Charge Amount |
655718 |
Total Medicare Allowed Amount |
429852.51 |
Total Medicare Payment Amount |
331919.18 |
Total Medicare Standardized Payment Amount |
348425.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
560 |
Number Of Medicare Beneficiaries With Drug Services |
383 |
Total Drug Submitted ChargeAmount |
18513 |
Total Drug Medicare AllowedAmount |
13634.1 |
Total Drug Medicare PaymentAmount |
13237.28 |
Total Drug Medicare Standardized Payment Amount |
13237.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
16043 |
Number Of Medicare Beneficiaries With Medical Services |
1141 |
Total Medical Submitted Charge Amount |
637205 |
Total Medical Medicare Allowed Amount |
416218.41 |
Total Medical Medicare Payment Amount |
318681.9 |
Total Medical Medicare Standardized Payment Amount |
335188.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
435 |
Number Of Beneficiaries Age 75 to 84 |
421 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
634 |
Number Of Male Beneficiaries |
507 |
Number Of Non Hispanic White Beneficiaries |
1037 |
Number Of Black or African American Beneficiaries |
91 |
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 |
1060 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1348 |