National Provider Identifier [NPI]: |
1114926482 |
Last Name Of The Provider |
BARKER |
First Name Of The Provider |
MONTY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
626 BURNETT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNTAIN HOME |
Zip Code Of The Provider |
726532941 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
10258 |
Number Of Medicare Beneficiaries |
844 |
Total Submitted Charge Amount |
343792.5 |
Total Medicare Allowed Amount |
195438.67 |
Total Medicare Payment Amount |
137996.52 |
Total Medicare Standardized Payment Amount |
147156.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
728 |
Total Drug Medicare AllowedAmount |
641.53 |
Total Drug Medicare PaymentAmount |
439.54 |
Total Drug Medicare Standardized Payment Amount |
439.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
10146 |
Number Of Medicare Beneficiaries With Medical Services |
844 |
Total Medical Submitted Charge Amount |
343064.5 |
Total Medical Medicare Allowed Amount |
194797.14 |
Total Medical Medicare Payment Amount |
137556.98 |
Total Medical Medicare Standardized Payment Amount |
146717.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
350 |
Number Of Non Hispanic White Beneficiaries |
833 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
733 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.089 |