National Provider Identifier [NPI]: |
1710947684 |
Last Name Of The Provider |
REICHLE |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
512 HARLEY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTSBORO |
Zip Code Of The Provider |
357684219 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
6966 |
Number Of Medicare Beneficiaries |
2994 |
Total Submitted Charge Amount |
767760.06 |
Total Medicare Allowed Amount |
355115.4 |
Total Medicare Payment Amount |
309521.14 |
Total Medicare Standardized Payment Amount |
342482.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
6966 |
Number Of Medicare Beneficiaries With Medical Services |
2994 |
Total Medical Submitted Charge Amount |
767760.06 |
Total Medical Medicare Allowed Amount |
355115.4 |
Total Medical Medicare Payment Amount |
309521.14 |
Total Medical Medicare Standardized Payment Amount |
342482.53 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
649 |
Number Of Beneficiaries Age 65 to 74 |
1289 |
Number Of Beneficiaries Age 75 to 84 |
799 |
Number Of Beneficiaries Age Greater 84 |
257 |
Number Of Female Beneficiaries |
2377 |
Number Of Male Beneficiaries |
617 |
Number Of Non Hispanic White Beneficiaries |
2898 |
Number Of Black or African American Beneficiaries |
75 |
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 |
2054 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
940 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1198 |