National Provider Identifier [NPI]: |
1922054477 |
Last Name Of The Provider |
PALMER |
First Name Of The Provider |
JULIE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3411 W MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUPELO |
Zip Code Of The Provider |
388019413 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
7885 |
Number Of Medicare Beneficiaries |
475 |
Total Submitted Charge Amount |
386025 |
Total Medicare Allowed Amount |
234504.82 |
Total Medicare Payment Amount |
179626.96 |
Total Medicare Standardized Payment Amount |
201397.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
988 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
18123 |
Total Drug Medicare AllowedAmount |
16170.06 |
Total Drug Medicare PaymentAmount |
15110.44 |
Total Drug Medicare Standardized Payment Amount |
15110.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
6897 |
Number Of Medicare Beneficiaries With Medical Services |
475 |
Total Medical Submitted Charge Amount |
367902 |
Total Medical Medicare Allowed Amount |
218334.76 |
Total Medical Medicare Payment Amount |
164516.52 |
Total Medical Medicare Standardized Payment Amount |
186287.41 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
387 |
Number Of Black or African American Beneficiaries |
|
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 |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
152 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9251 |