Medicare Facts for Dr. John Campbell, DO


National Provider Identifier [NPI]: 1669453767
Last Name Of The Provider CAMPBELL
First Name Of The Provider JOHN
Middle Initial Of The Provider
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 805 E LEE ST STE C
Street Address 2 Of The Provider ENTERPRISE CLINIC, LLC/DBA ENTERPRISE EXPRESS CARE
City Of The Provider ENTERPRISE
Zip Code Of The Provider 363302477
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 473
Number Of Medicare Beneficiaries 101
Total Submitted Charge Amount 28933
Total Medicare Allowed Amount 11374.88
Total Medicare Payment Amount 8446.21
Total Medicare Standardized Payment Amount 9494.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 301
Number Of Medicare Beneficiaries With Drug Services 43
Total Drug Submitted ChargeAmount 692
Total Drug Medicare AllowedAmount 93.62
Total Drug Medicare PaymentAmount 70.18
Total Drug Medicare Standardized Payment Amount 70.18
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 17
Number Of Medical Services 172
Number Of Medicare Beneficiaries With Medical Services 101
Total Medical Submitted Charge Amount 28241
Total Medical Medicare Allowed Amount 11281.26
Total Medical Medicare Payment Amount 8376.03
Total Medical Medicare Standardized Payment Amount 9424.69
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 51
Number Of Beneficiaries Age 75 to 84 22
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 53
Number Of Male Beneficiaries 48
Number Of Non Hispanic White Beneficiaries 83
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 83
Number Of Beneficiaries With Medicare Medicaid Entitlement 18
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 20
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8991

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