National Provider Identifier [NPI]: |
1528112885 |
Last Name Of The Provider |
CARR |
First Name Of The Provider |
GREGG |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
516 BROOKWOOD BLVD |
Street Address 2 Of The Provider |
FLOOR 2 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352096802 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
5129 |
Number Of Medicare Beneficiaries |
652 |
Total Submitted Charge Amount |
839345 |
Total Medicare Allowed Amount |
359729.36 |
Total Medicare Payment Amount |
264405.37 |
Total Medicare Standardized Payment Amount |
297023.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1467 |
Number Of Medicare Beneficiaries With Drug Services |
373 |
Total Drug Submitted ChargeAmount |
55686 |
Total Drug Medicare AllowedAmount |
30569.52 |
Total Drug Medicare PaymentAmount |
22475.71 |
Total Drug Medicare Standardized Payment Amount |
22475.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
3662 |
Number Of Medicare Beneficiaries With Medical Services |
652 |
Total Medical Submitted Charge Amount |
783659 |
Total Medical Medicare Allowed Amount |
329159.84 |
Total Medical Medicare Payment Amount |
241929.66 |
Total Medical Medicare Standardized Payment Amount |
274547.67 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
414 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
518 |
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 |
618 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9589 |