National Provider Identifier [NPI]: |
1124025713 |
Last Name Of The Provider |
REINKE |
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 |
541 W COLLEGE ST |
Street Address 2 Of The Provider |
STE 1100 |
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
356305320 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
4636 |
Number Of Medicare Beneficiaries |
1154 |
Total Submitted Charge Amount |
523832 |
Total Medicare Allowed Amount |
321755.28 |
Total Medicare Payment Amount |
241845.28 |
Total Medicare Standardized Payment Amount |
250976.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
328 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
18372 |
Total Drug Medicare AllowedAmount |
12354.12 |
Total Drug Medicare PaymentAmount |
9685.34 |
Total Drug Medicare Standardized Payment Amount |
9685.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
4308 |
Number Of Medicare Beneficiaries With Medical Services |
1154 |
Total Medical Submitted Charge Amount |
505460 |
Total Medical Medicare Allowed Amount |
309401.16 |
Total Medical Medicare Payment Amount |
232159.94 |
Total Medical Medicare Standardized Payment Amount |
241290.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
421 |
Number Of Beneficiaries Age 75 to 84 |
398 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
598 |
Number Of Male Beneficiaries |
556 |
Number Of Non Hispanic White Beneficiaries |
1027 |
Number Of Black or African American Beneficiaries |
113 |
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 |
881 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
273 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5173 |