National Provider Identifier [NPI]: |
1316995053 |
Last Name Of The Provider |
KIRBY |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 SPRINGHILL AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366041407 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
7496 |
Number Of Medicare Beneficiaries |
1031 |
Total Submitted Charge Amount |
849105 |
Total Medicare Allowed Amount |
459763.91 |
Total Medicare Payment Amount |
358905.58 |
Total Medicare Standardized Payment Amount |
372889.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3462 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
269393 |
Total Drug Medicare AllowedAmount |
235579.46 |
Total Drug Medicare PaymentAmount |
184979.36 |
Total Drug Medicare Standardized Payment Amount |
184979.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
4034 |
Number Of Medicare Beneficiaries With Medical Services |
1031 |
Total Medical Submitted Charge Amount |
579712 |
Total Medical Medicare Allowed Amount |
224184.45 |
Total Medical Medicare Payment Amount |
173926.22 |
Total Medical Medicare Standardized Payment Amount |
187910.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
409 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
606 |
Number Of Male Beneficiaries |
425 |
Number Of Non Hispanic White Beneficiaries |
828 |
Number Of Black or African American Beneficiaries |
188 |
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 |
889 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4805 |