National Provider Identifier [NPI]: |
1215013354 |
Last Name Of The Provider |
EMOKPAE |
First Name Of The Provider |
HAMILTON |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1207 MERCHANT WAY STE 201B |
Street Address 2 Of The Provider |
|
City Of The Provider |
STATESBORO |
Zip Code Of The Provider |
304580862 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
3687 |
Number Of Medicare Beneficiaries |
274 |
Total Submitted Charge Amount |
471654.71 |
Total Medicare Allowed Amount |
242274.81 |
Total Medicare Payment Amount |
189289.91 |
Total Medicare Standardized Payment Amount |
198542.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
231 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
4926 |
Total Drug Medicare AllowedAmount |
483.12 |
Total Drug Medicare PaymentAmount |
395.01 |
Total Drug Medicare Standardized Payment Amount |
395.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
3456 |
Number Of Medicare Beneficiaries With Medical Services |
274 |
Total Medical Submitted Charge Amount |
466728.71 |
Total Medical Medicare Allowed Amount |
241791.69 |
Total Medical Medicare Payment Amount |
188894.9 |
Total Medical Medicare Standardized Payment Amount |
198147.2 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
91 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
149 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
141 |
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 |
100 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.3844 |