National Provider Identifier [NPI]: |
1245238211 |
Last Name Of The Provider |
FERREE |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1506 ALICE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WAYCROSS |
Zip Code Of The Provider |
315014531 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
2950 |
Number Of Medicare Beneficiaries |
1147 |
Total Submitted Charge Amount |
951246 |
Total Medicare Allowed Amount |
294162.54 |
Total Medicare Payment Amount |
216381.4 |
Total Medicare Standardized Payment Amount |
237855.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
335 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
53935 |
Total Drug Medicare AllowedAmount |
17735.01 |
Total Drug Medicare PaymentAmount |
13240.72 |
Total Drug Medicare Standardized Payment Amount |
13240.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2615 |
Number Of Medicare Beneficiaries With Medical Services |
1147 |
Total Medical Submitted Charge Amount |
897311 |
Total Medical Medicare Allowed Amount |
276427.53 |
Total Medical Medicare Payment Amount |
203140.68 |
Total Medical Medicare Standardized Payment Amount |
224614.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
404 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
608 |
Number Of Male Beneficiaries |
539 |
Number Of Non Hispanic White Beneficiaries |
1019 |
Number Of Black or African American Beneficiaries |
111 |
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 |
795 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
352 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7694 |