| National Provider Identifier [NPI]: | 1992771505 |
| Last Name Of The Provider | FITZ-GERALD |
| First Name Of The Provider | MAURICE |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 203 US HIGHWAY 80 W |
| Street Address 2 Of The Provider | |
| City Of The Provider | DEMOPOLIS |
| Zip Code Of The Provider | 367324103 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 167 |
| Number Of Services | 24441 |
| Number Of Medicare Beneficiaries | 806 |
| Total Submitted Charge Amount | 800741.55 |
| Total Medicare Allowed Amount | 576090.73 |
| Total Medicare Payment Amount | 434470.3 |
| Total Medicare Standardized Payment Amount | 460742.19 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 29 |
| Number Of Drug Services | 11215 |
| Number Of Medicare Beneficiaries With Drug Services | 488 |
| Total Drug Submitted ChargeAmount | 40531.95 |
| Total Drug Medicare AllowedAmount | 16803.99 |
| Total Drug Medicare PaymentAmount | 13285.8 |
| Total Drug Medicare Standardized Payment Amount | 13285.8 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 138 |
| Number Of Medical Services | 13226 |
| Number Of Medicare Beneficiaries With Medical Services | 806 |
| Total Medical Submitted Charge Amount | 760209.6 |
| Total Medical Medicare Allowed Amount | 559286.74 |
| Total Medical Medicare Payment Amount | 421184.5 |
| Total Medical Medicare Standardized Payment Amount | 447456.39 |
| Average Age Of Beneficiaries | 66 |
| Number Of Beneficiaries Age Less65 | 314 |
| Number Of Beneficiaries Age 65 to 74 | 264 |
| Number Of Beneficiaries Age 75 to 84 | 156 |
| Number Of Beneficiaries Age Greater 84 | 72 |
| Number Of Female Beneficiaries | 497 |
| Number Of Male Beneficiaries | 309 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | 566 |
| 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 | 368 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 438 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 6 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 2 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.1861 |