National Provider Identifier [NPI]: |
1124019781 |
Last Name Of The Provider |
YATES |
First Name Of The Provider |
GLENN |
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 |
1722 PINE ST |
Street Address 2 Of The Provider |
SUITE 309 |
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
361061103 |
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 |
83 |
Number Of Services |
9216 |
Number Of Medicare Beneficiaries |
1311 |
Total Submitted Charge Amount |
482662.88 |
Total Medicare Allowed Amount |
334104.88 |
Total Medicare Payment Amount |
258615.8 |
Total Medicare Standardized Payment Amount |
277507.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
318 |
Number Of Medicare Beneficiaries With Drug Services |
253 |
Total Drug Submitted ChargeAmount |
16532 |
Total Drug Medicare AllowedAmount |
13719.83 |
Total Drug Medicare PaymentAmount |
13039.28 |
Total Drug Medicare Standardized Payment Amount |
13039.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
8898 |
Number Of Medicare Beneficiaries With Medical Services |
1311 |
Total Medical Submitted Charge Amount |
466130.88 |
Total Medical Medicare Allowed Amount |
320385.05 |
Total Medical Medicare Payment Amount |
245576.52 |
Total Medical Medicare Standardized Payment Amount |
264468.59 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
481 |
Number Of Beneficiaries Age 75 to 84 |
473 |
Number Of Beneficiaries Age Greater 84 |
237 |
Number Of Female Beneficiaries |
712 |
Number Of Male Beneficiaries |
599 |
Number Of Non Hispanic White Beneficiaries |
1014 |
Number Of Black or African American Beneficiaries |
281 |
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 |
1151 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3357 |