National Provider Identifier [NPI]: |
1538133624 |
Last Name Of The Provider |
BELL |
First Name Of The Provider |
MEREDITH |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 JOHNSON FERRY RD NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303421606 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
4033 |
Number Of Medicare Beneficiaries |
1760 |
Total Submitted Charge Amount |
475064 |
Total Medicare Allowed Amount |
99385.01 |
Total Medicare Payment Amount |
75857.82 |
Total Medicare Standardized Payment Amount |
76753.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1300 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
5200 |
Total Drug Medicare AllowedAmount |
313.6 |
Total Drug Medicare PaymentAmount |
245.82 |
Total Drug Medicare Standardized Payment Amount |
245.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
2733 |
Number Of Medicare Beneficiaries With Medical Services |
1760 |
Total Medical Submitted Charge Amount |
469864 |
Total Medical Medicare Allowed Amount |
99071.41 |
Total Medical Medicare Payment Amount |
75612 |
Total Medical Medicare Standardized Payment Amount |
76507.35 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
251 |
Number Of Beneficiaries Age 65 to 74 |
805 |
Number Of Beneficiaries Age 75 to 84 |
489 |
Number Of Beneficiaries Age Greater 84 |
215 |
Number Of Female Beneficiaries |
1118 |
Number Of Male Beneficiaries |
642 |
Number Of Non Hispanic White Beneficiaries |
1473 |
Number Of Black or African American Beneficiaries |
208 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1486 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
274 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8044 |