National Provider Identifier [NPI]: |
1487669297 |
Last Name Of The Provider |
MCCAY |
First Name Of The Provider |
MARVIN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1030 RIVER OAKS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392329553 |
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 |
142 |
Number Of Services |
4704 |
Number Of Medicare Beneficiaries |
2739 |
Total Submitted Charge Amount |
1497975 |
Total Medicare Allowed Amount |
350512.96 |
Total Medicare Payment Amount |
260720.36 |
Total Medicare Standardized Payment Amount |
292961.15 |
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 |
142 |
Number Of Medical Services |
4704 |
Number Of Medicare Beneficiaries With Medical Services |
2739 |
Total Medical Submitted Charge Amount |
1497975 |
Total Medical Medicare Allowed Amount |
350512.96 |
Total Medical Medicare Payment Amount |
260720.36 |
Total Medical Medicare Standardized Payment Amount |
292961.15 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
609 |
Number Of Beneficiaries Age 65 to 74 |
1213 |
Number Of Beneficiaries Age 75 to 84 |
703 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
1702 |
Number Of Male Beneficiaries |
1037 |
Number Of Non Hispanic White Beneficiaries |
2248 |
Number Of Black or African American Beneficiaries |
460 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2135 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
604 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1533 |