National Provider Identifier [NPI]: |
1700860277 |
Last Name Of The Provider |
DOWNING |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 FAIRVIEW AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOTHAN |
Zip Code Of The Provider |
363013008 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
272 |
Number Of Services |
9249 |
Number Of Medicare Beneficiaries |
5877 |
Total Submitted Charge Amount |
1563826 |
Total Medicare Allowed Amount |
325289.82 |
Total Medicare Payment Amount |
246221.75 |
Total Medicare Standardized Payment Amount |
263739.52 |
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 |
272 |
Number Of Medical Services |
9249 |
Number Of Medicare Beneficiaries With Medical Services |
5877 |
Total Medical Submitted Charge Amount |
1563826 |
Total Medical Medicare Allowed Amount |
325289.82 |
Total Medical Medicare Payment Amount |
246221.75 |
Total Medical Medicare Standardized Payment Amount |
263739.52 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1214 |
Number Of Beneficiaries Age 65 to 74 |
2156 |
Number Of Beneficiaries Age 75 to 84 |
1731 |
Number Of Beneficiaries Age Greater 84 |
776 |
Number Of Female Beneficiaries |
3301 |
Number Of Male Beneficiaries |
2576 |
Number Of Non Hispanic White Beneficiaries |
4652 |
Number Of Black or African American Beneficiaries |
1130 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
4026 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1851 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6093 |