National Provider Identifier [NPI]: |
1942208012 |
Last Name Of The Provider |
CARTER |
First Name Of The Provider |
JOEY |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
341 GREENO RD N |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAIRHOPE |
Zip Code Of The Provider |
365322979 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
4567 |
Number Of Medicare Beneficiaries |
726 |
Total Submitted Charge Amount |
1139504 |
Total Medicare Allowed Amount |
346964.61 |
Total Medicare Payment Amount |
255410.64 |
Total Medicare Standardized Payment Amount |
282418.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1239 |
Number Of Medicare Beneficiaries With Drug Services |
374 |
Total Drug Submitted ChargeAmount |
55067 |
Total Drug Medicare AllowedAmount |
20376.49 |
Total Drug Medicare PaymentAmount |
15748.13 |
Total Drug Medicare Standardized Payment Amount |
15748.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
145 |
Number Of Medical Services |
3328 |
Number Of Medicare Beneficiaries With Medical Services |
726 |
Total Medical Submitted Charge Amount |
1084437 |
Total Medical Medicare Allowed Amount |
326588.12 |
Total Medical Medicare Payment Amount |
239662.51 |
Total Medical Medicare Standardized Payment Amount |
266670.86 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
212 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
474 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
593 |
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 |
612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.04 |