National Provider Identifier [NPI]: |
1023019445 |
Last Name Of The Provider |
PICKETT |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 GOVERNORS DRIVE 1ST FLOOR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358014317 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurosurgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
2722 |
Number Of Medicare Beneficiaries |
849 |
Total Submitted Charge Amount |
1737269 |
Total Medicare Allowed Amount |
416213.62 |
Total Medicare Payment Amount |
319966.57 |
Total Medicare Standardized Payment Amount |
343249.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
1034 |
Total Drug Medicare AllowedAmount |
59.77 |
Total Drug Medicare PaymentAmount |
46.87 |
Total Drug Medicare Standardized Payment Amount |
46.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
2700 |
Number Of Medicare Beneficiaries With Medical Services |
849 |
Total Medical Submitted Charge Amount |
1736235 |
Total Medical Medicare Allowed Amount |
416153.85 |
Total Medical Medicare Payment Amount |
319919.7 |
Total Medical Medicare Standardized Payment Amount |
343202.24 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
376 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
478 |
Number Of Male Beneficiaries |
371 |
Number Of Non Hispanic White Beneficiaries |
772 |
Number Of Black or African American Beneficiaries |
61 |
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 |
729 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.1749 |