National Provider Identifier [NPI]: |
1396793006 |
Last Name Of The Provider |
PRESLEY |
First Name Of The Provider |
JULIE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1250 JESSE JEWELL PKWY SE |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305013871 |
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 |
182 |
Number Of Services |
8734 |
Number Of Medicare Beneficiaries |
5259 |
Total Submitted Charge Amount |
1089768 |
Total Medicare Allowed Amount |
239196.86 |
Total Medicare Payment Amount |
185001.45 |
Total Medicare Standardized Payment Amount |
192851.26 |
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 |
182 |
Number Of Medical Services |
8734 |
Number Of Medicare Beneficiaries With Medical Services |
5259 |
Total Medical Submitted Charge Amount |
1089768 |
Total Medical Medicare Allowed Amount |
239196.86 |
Total Medical Medicare Payment Amount |
185001.45 |
Total Medical Medicare Standardized Payment Amount |
192851.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
749 |
Number Of Beneficiaries Age 65 to 74 |
2442 |
Number Of Beneficiaries Age 75 to 84 |
1515 |
Number Of Beneficiaries Age Greater 84 |
553 |
Number Of Female Beneficiaries |
3548 |
Number Of Male Beneficiaries |
1711 |
Number Of Non Hispanic White Beneficiaries |
4856 |
Number Of Black or African American Beneficiaries |
211 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
118 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
4144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1115 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4663 |