National Provider Identifier [NPI]: |
1740206515 |
Last Name Of The Provider |
CASHWELL |
First Name Of The Provider |
LEIGH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
859 WINTER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUCEDALE |
Zip Code Of The Provider |
394526603 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
4429 |
Number Of Medicare Beneficiaries |
1887 |
Total Submitted Charge Amount |
331527 |
Total Medicare Allowed Amount |
107371.42 |
Total Medicare Payment Amount |
80539.76 |
Total Medicare Standardized Payment Amount |
86124.36 |
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 |
140 |
Number Of Medical Services |
4429 |
Number Of Medicare Beneficiaries With Medical Services |
1887 |
Total Medical Submitted Charge Amount |
331527 |
Total Medical Medicare Allowed Amount |
107371.42 |
Total Medical Medicare Payment Amount |
80539.76 |
Total Medical Medicare Standardized Payment Amount |
86124.36 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
473 |
Number Of Beneficiaries Age 65 to 74 |
753 |
Number Of Beneficiaries Age 75 to 84 |
466 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
1173 |
Number Of Male Beneficiaries |
714 |
Number Of Non Hispanic White Beneficiaries |
1676 |
Number Of Black or African American Beneficiaries |
193 |
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 |
1169 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
718 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2845 |