National Provider Identifier [NPI]: |
1841285723 |
Last Name Of The Provider |
GREENFIELD |
First Name Of The Provider |
MELINDA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2709 MEREDYTH DR |
Street Address 2 Of The Provider |
SUITE 340 |
City Of The Provider |
ALBANY |
Zip Code Of The Provider |
317070222 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
15361 |
Number Of Medicare Beneficiaries |
2573 |
Total Submitted Charge Amount |
1347090 |
Total Medicare Allowed Amount |
813943 |
Total Medicare Payment Amount |
561685.44 |
Total Medicare Standardized Payment Amount |
593729.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
217 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
52290 |
Total Drug Medicare AllowedAmount |
51695.31 |
Total Drug Medicare PaymentAmount |
39805.15 |
Total Drug Medicare Standardized Payment Amount |
39805.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
15144 |
Number Of Medicare Beneficiaries With Medical Services |
2573 |
Total Medical Submitted Charge Amount |
1294800 |
Total Medical Medicare Allowed Amount |
762247.69 |
Total Medical Medicare Payment Amount |
521880.29 |
Total Medical Medicare Standardized Payment Amount |
553924.46 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
264 |
Number Of Beneficiaries Age 65 to 74 |
1318 |
Number Of Beneficiaries Age 75 to 84 |
738 |
Number Of Beneficiaries Age Greater 84 |
253 |
Number Of Female Beneficiaries |
1371 |
Number Of Male Beneficiaries |
1202 |
Number Of Non Hispanic White Beneficiaries |
2272 |
Number Of Black or African American Beneficiaries |
267 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
2271 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
302 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9638 |