National Provider Identifier [NPI]: |
1316949191 |
Last Name Of The Provider |
BUTLER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1224 TROTWOOD AVE |
Street Address 2 Of The Provider |
SOUTHERN RADIOLOGY ASSOCIATES, PLLC |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
38401 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
217 |
Number Of Services |
6508 |
Number Of Medicare Beneficiaries |
3916 |
Total Submitted Charge Amount |
737448 |
Total Medicare Allowed Amount |
177509.42 |
Total Medicare Payment Amount |
135527 |
Total Medicare Standardized Payment Amount |
145536.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
217 |
Number Of Medical Services |
6508 |
Number Of Medicare Beneficiaries With Medical Services |
3916 |
Total Medical Submitted Charge Amount |
737448 |
Total Medical Medicare Allowed Amount |
177509.42 |
Total Medical Medicare Payment Amount |
135527 |
Total Medical Medicare Standardized Payment Amount |
145536.12 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
778 |
Number Of Beneficiaries Age 65 to 74 |
1494 |
Number Of Beneficiaries Age 75 to 84 |
1166 |
Number Of Beneficiaries Age Greater 84 |
478 |
Number Of Female Beneficiaries |
2518 |
Number Of Male Beneficiaries |
1398 |
Number Of Non Hispanic White Beneficiaries |
3617 |
Number Of Black or African American Beneficiaries |
248 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2797 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1119 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5194 |