National Provider Identifier [NPI]: |
1669430682 |
Last Name Of The Provider |
FLOWERS |
First Name Of The Provider |
MARTHA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 S STATE ST |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
PINE BLUFF |
Zip Code Of The Provider |
716015856 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
898 |
Number Of Medicare Beneficiaries |
223 |
Total Submitted Charge Amount |
69041.85 |
Total Medicare Allowed Amount |
62537.5 |
Total Medicare Payment Amount |
43796.57 |
Total Medicare Standardized Payment Amount |
48168.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
1370 |
Total Drug Medicare AllowedAmount |
814.66 |
Total Drug Medicare PaymentAmount |
796.33 |
Total Drug Medicare Standardized Payment Amount |
796.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
842 |
Number Of Medicare Beneficiaries With Medical Services |
223 |
Total Medical Submitted Charge Amount |
67671.85 |
Total Medical Medicare Allowed Amount |
61722.84 |
Total Medical Medicare Payment Amount |
43000.24 |
Total Medical Medicare Standardized Payment Amount |
47372.07 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
77 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
124 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
13 |
Number Of Black or African American Beneficiaries |
210 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
117 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.367 |