National Provider Identifier [NPI]: |
1538263983 |
Last Name Of The Provider |
CARMICHAEL |
First Name Of The Provider |
LAURENCE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1111 S RALEIGH AVE |
Street Address 2 Of The Provider |
STE 600 |
City Of The Provider |
SHEFFIELD |
Zip Code Of The Provider |
35660 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
4010 |
Number Of Medicare Beneficiaries |
860 |
Total Submitted Charge Amount |
448720.5 |
Total Medicare Allowed Amount |
270050.34 |
Total Medicare Payment Amount |
200007.7 |
Total Medicare Standardized Payment Amount |
200391.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
390 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
1742 |
Total Drug Medicare AllowedAmount |
719.73 |
Total Drug Medicare PaymentAmount |
693.19 |
Total Drug Medicare Standardized Payment Amount |
693.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3620 |
Number Of Medicare Beneficiaries With Medical Services |
860 |
Total Medical Submitted Charge Amount |
446978.5 |
Total Medical Medicare Allowed Amount |
269330.61 |
Total Medical Medicare Payment Amount |
199314.51 |
Total Medical Medicare Standardized Payment Amount |
199698.3 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
358 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
760 |
Number Of Black or African American Beneficiaries |
86 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
661 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.319 |