National Provider Identifier [NPI]: |
1407957046 |
Last Name Of The Provider |
MENEFEE |
First Name Of The Provider |
JUDSON |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3 MEDICAL PARK DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAIRHOPE |
Zip Code Of The Provider |
36532 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
3184 |
Number Of Medicare Beneficiaries |
885 |
Total Submitted Charge Amount |
278061 |
Total Medicare Allowed Amount |
197053.76 |
Total Medicare Payment Amount |
138583.18 |
Total Medicare Standardized Payment Amount |
152561.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1005 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
21520 |
Total Drug Medicare AllowedAmount |
13974.34 |
Total Drug Medicare PaymentAmount |
10693.85 |
Total Drug Medicare Standardized Payment Amount |
10693.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2179 |
Number Of Medicare Beneficiaries With Medical Services |
885 |
Total Medical Submitted Charge Amount |
256541 |
Total Medical Medicare Allowed Amount |
183079.42 |
Total Medical Medicare Payment Amount |
127889.33 |
Total Medical Medicare Standardized Payment Amount |
141867.64 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
436 |
Number Of Beneficiaries Age 75 to 84 |
260 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
527 |
Number Of Male Beneficiaries |
358 |
Number Of Non Hispanic White Beneficiaries |
810 |
Number Of Black or African American Beneficiaries |
61 |
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 |
803 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
71 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2315 |