National Provider Identifier [NPI]: |
1588698906 |
Last Name Of The Provider |
PILLOW |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 SHIRLEY HICKS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HELENA |
Zip Code Of The Provider |
723428852 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
975 |
Number Of Medicare Beneficiaries |
367 |
Total Submitted Charge Amount |
20689 |
Total Medicare Allowed Amount |
8984.29 |
Total Medicare Payment Amount |
6133.81 |
Total Medicare Standardized Payment Amount |
7941.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
582 |
Total Drug Medicare AllowedAmount |
123.85 |
Total Drug Medicare PaymentAmount |
20.83 |
Total Drug Medicare Standardized Payment Amount |
20.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
948 |
Number Of Medicare Beneficiaries With Medical Services |
367 |
Total Medical Submitted Charge Amount |
20107 |
Total Medical Medicare Allowed Amount |
8860.44 |
Total Medical Medicare Payment Amount |
6112.98 |
Total Medical Medicare Standardized Payment Amount |
7921.08 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
230 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
243 |
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 |
238 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
28 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0547 |