National Provider Identifier [NPI]: |
1487637427 |
Last Name Of The Provider |
TUCKER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2006 FRANKLIN ST SE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358014551 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
185 |
Number Of Services |
7363 |
Number Of Medicare Beneficiaries |
3994 |
Total Submitted Charge Amount |
426795.57 |
Total Medicare Allowed Amount |
175768.7 |
Total Medicare Payment Amount |
137725.52 |
Total Medicare Standardized Payment Amount |
148714.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1101 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
1254 |
Total Drug Medicare AllowedAmount |
305.49 |
Total Drug Medicare PaymentAmount |
239.46 |
Total Drug Medicare Standardized Payment Amount |
239.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
183 |
Number Of Medical Services |
6262 |
Number Of Medicare Beneficiaries With Medical Services |
3994 |
Total Medical Submitted Charge Amount |
425541.57 |
Total Medical Medicare Allowed Amount |
175463.21 |
Total Medical Medicare Payment Amount |
137486.06 |
Total Medical Medicare Standardized Payment Amount |
148474.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
743 |
Number Of Beneficiaries Age 65 to 74 |
1512 |
Number Of Beneficiaries Age 75 to 84 |
1195 |
Number Of Beneficiaries Age Greater 84 |
544 |
Number Of Female Beneficiaries |
2619 |
Number Of Male Beneficiaries |
1375 |
Number Of Non Hispanic White Beneficiaries |
3350 |
Number Of Black or African American Beneficiaries |
564 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
851 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5452 |