National Provider Identifier [NPI]: |
1538277843 |
Last Name Of The Provider |
PROLI |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
404 S 13TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAUREL |
Zip Code Of The Provider |
394404345 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
9451 |
Number Of Medicare Beneficiaries |
2080 |
Total Submitted Charge Amount |
2033297 |
Total Medicare Allowed Amount |
619271.06 |
Total Medicare Payment Amount |
459144.41 |
Total Medicare Standardized Payment Amount |
511825.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
833 |
Number Of Medicare Beneficiaries With Drug Services |
212 |
Total Drug Submitted ChargeAmount |
78286 |
Total Drug Medicare AllowedAmount |
41850.24 |
Total Drug Medicare PaymentAmount |
32207.05 |
Total Drug Medicare Standardized Payment Amount |
32207.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
8618 |
Number Of Medicare Beneficiaries With Medical Services |
2080 |
Total Medical Submitted Charge Amount |
1955011 |
Total Medical Medicare Allowed Amount |
577420.82 |
Total Medical Medicare Payment Amount |
426937.36 |
Total Medical Medicare Standardized Payment Amount |
479618.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
382 |
Number Of Beneficiaries Age 65 to 74 |
692 |
Number Of Beneficiaries Age 75 to 84 |
656 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1178 |
Number Of Male Beneficiaries |
902 |
Number Of Non Hispanic White Beneficiaries |
1585 |
Number Of Black or African American Beneficiaries |
480 |
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 |
1359 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
721 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4653 |