Medicare Facts for Dr. Marcus L. Simmons, MD


National Provider Identifier [NPI]: 1770511180
Last Name Of The Provider SIMMONS
First Name Of The Provider MARCUS
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4226 HARTLEY BRIDGE RD
Street Address 2 Of The Provider
City Of The Provider MACON
Zip Code Of The Provider 312164115
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 86
Number Of Services 12140
Number Of Medicare Beneficiaries 1374
Total Submitted Charge Amount 1490894
Total Medicare Allowed Amount 735852.12
Total Medicare Payment Amount 536793.01
Total Medicare Standardized Payment Amount 474176.12
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 2223
Number Of Medicare Beneficiaries With Drug Services 267
Total Drug Submitted ChargeAmount 44126
Total Drug Medicare AllowedAmount 3027.43
Total Drug Medicare PaymentAmount 2155.58
Total Drug Medicare Standardized Payment Amount 2155.58
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 78
Number Of Medical Services 9917
Number Of Medicare Beneficiaries With Medical Services 1373
Total Medical Submitted Charge Amount 1446768
Total Medical Medicare Allowed Amount 732824.69
Total Medical Medicare Payment Amount 534637.43
Total Medical Medicare Standardized Payment Amount 472020.54
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 154
Number Of Beneficiaries Age 65 to 74 605
Number Of Beneficiaries Age 75 to 84 441
Number Of Beneficiaries Age Greater 84 174
Number Of Female Beneficiaries 776
Number Of Male Beneficiaries 598
Number Of Non Hispanic White Beneficiaries 1191
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 1221
Number Of Beneficiaries With Medicare Medicaid Entitlement 153
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 8
Percent Of With Cancer 12
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 20
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 1.3868

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