National Provider Identifier [NPI]: |
1093829640 |
Last Name Of The Provider |
MILLIGAN |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2337 HOMER CLAYTON DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GUNTERSVILLE |
Zip Code Of The Provider |
359762205 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
137 |
Number Of Services |
8638 |
Number Of Medicare Beneficiaries |
1281 |
Total Submitted Charge Amount |
545094.93 |
Total Medicare Allowed Amount |
370373.5 |
Total Medicare Payment Amount |
270472.61 |
Total Medicare Standardized Payment Amount |
304899.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
3517 |
Number Of Medicare Beneficiaries With Drug Services |
365 |
Total Drug Submitted ChargeAmount |
26285.8 |
Total Drug Medicare AllowedAmount |
6361.91 |
Total Drug Medicare PaymentAmount |
4942.21 |
Total Drug Medicare Standardized Payment Amount |
4942.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
5121 |
Number Of Medicare Beneficiaries With Medical Services |
1281 |
Total Medical Submitted Charge Amount |
518809.13 |
Total Medical Medicare Allowed Amount |
364011.59 |
Total Medical Medicare Payment Amount |
265530.4 |
Total Medical Medicare Standardized Payment Amount |
299957.49 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
167 |
Number Of Beneficiaries Age 65 to 74 |
509 |
Number Of Beneficiaries Age 75 to 84 |
442 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
832 |
Number Of Male Beneficiaries |
449 |
Number Of Non Hispanic White Beneficiaries |
1249 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1044 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
237 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.2822 |