National Provider Identifier [NPI]: |
1336147271 |
Last Name Of The Provider |
COLEMAN |
First Name Of The Provider |
LEE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2005 HIGHWAY 82 W |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENWOOD |
Zip Code Of The Provider |
389302720 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
5102 |
Number Of Medicare Beneficiaries |
1987 |
Total Submitted Charge Amount |
1578695 |
Total Medicare Allowed Amount |
726421.17 |
Total Medicare Payment Amount |
528188.71 |
Total Medicare Standardized Payment Amount |
589472.72 |
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 |
30 |
Number Of Medical Services |
5102 |
Number Of Medicare Beneficiaries With Medical Services |
1987 |
Total Medical Submitted Charge Amount |
1578695 |
Total Medical Medicare Allowed Amount |
726421.17 |
Total Medical Medicare Payment Amount |
528188.71 |
Total Medical Medicare Standardized Payment Amount |
589472.72 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
458 |
Number Of Beneficiaries Age 65 to 74 |
865 |
Number Of Beneficiaries Age 75 to 84 |
497 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
1214 |
Number Of Male Beneficiaries |
773 |
Number Of Non Hispanic White Beneficiaries |
977 |
Number Of Black or African American Beneficiaries |
989 |
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 |
1152 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
835 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1745 |