National Provider Identifier [NPI]: |
1659365138 |
Last Name Of The Provider |
SEXTON |
First Name Of The Provider |
MARVIN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4300 W MAIN ST |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
DOTHAN |
Zip Code Of The Provider |
363051054 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
5006 |
Number Of Medicare Beneficiaries |
1738 |
Total Submitted Charge Amount |
1170966 |
Total Medicare Allowed Amount |
437803.13 |
Total Medicare Payment Amount |
323041.04 |
Total Medicare Standardized Payment Amount |
357588.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
3585 |
Total Drug Medicare AllowedAmount |
2708.85 |
Total Drug Medicare PaymentAmount |
2489.08 |
Total Drug Medicare Standardized Payment Amount |
2489.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4947 |
Number Of Medicare Beneficiaries With Medical Services |
1738 |
Total Medical Submitted Charge Amount |
1167381 |
Total Medical Medicare Allowed Amount |
435094.28 |
Total Medical Medicare Payment Amount |
320551.96 |
Total Medical Medicare Standardized Payment Amount |
355099.44 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
400 |
Number Of Beneficiaries Age 65 to 74 |
753 |
Number Of Beneficiaries Age 75 to 84 |
479 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
919 |
Number Of Male Beneficiaries |
819 |
Number Of Non Hispanic White Beneficiaries |
1422 |
Number Of Black or African American Beneficiaries |
297 |
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 |
1318 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
420 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5791 |