National Provider Identifier [NPI]: |
1285619213 |
Last Name Of The Provider |
MCNAIR |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1968 PEACHTREE RD NW |
Street Address 2 Of The Provider |
ATTN: RADIOLOGY DEPT |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303091281 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
190 |
Number Of Services |
5887 |
Number Of Medicare Beneficiaries |
3514 |
Total Submitted Charge Amount |
583329 |
Total Medicare Allowed Amount |
182653.9 |
Total Medicare Payment Amount |
145737.56 |
Total Medicare Standardized Payment Amount |
149742.7 |
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 |
190 |
Number Of Medical Services |
5887 |
Number Of Medicare Beneficiaries With Medical Services |
3514 |
Total Medical Submitted Charge Amount |
583329 |
Total Medical Medicare Allowed Amount |
182653.9 |
Total Medical Medicare Payment Amount |
145737.56 |
Total Medical Medicare Standardized Payment Amount |
149742.7 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
509 |
Number Of Beneficiaries Age 65 to 74 |
1488 |
Number Of Beneficiaries Age 75 to 84 |
1020 |
Number Of Beneficiaries Age Greater 84 |
497 |
Number Of Female Beneficiaries |
2551 |
Number Of Male Beneficiaries |
963 |
Number Of Non Hispanic White Beneficiaries |
2615 |
Number Of Black or African American Beneficiaries |
794 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2909 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
605 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.475 |