National Provider Identifier [NPI]: |
1285661934 |
Last Name Of The Provider |
SOLOMON |
First Name Of The Provider |
NEIL |
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 |
5000 W 4TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394021000 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
287 |
Number Of Services |
23098 |
Number Of Medicare Beneficiaries |
6668 |
Total Submitted Charge Amount |
2090159 |
Total Medicare Allowed Amount |
431318.15 |
Total Medicare Payment Amount |
323906.96 |
Total Medicare Standardized Payment Amount |
357522.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
11798 |
Number Of Medicare Beneficiaries With Drug Services |
170 |
Total Drug Submitted ChargeAmount |
14677 |
Total Drug Medicare AllowedAmount |
3344.08 |
Total Drug Medicare PaymentAmount |
2548.21 |
Total Drug Medicare Standardized Payment Amount |
2548.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
284 |
Number Of Medical Services |
11300 |
Number Of Medicare Beneficiaries With Medical Services |
6668 |
Total Medical Submitted Charge Amount |
2075482 |
Total Medical Medicare Allowed Amount |
427974.07 |
Total Medical Medicare Payment Amount |
321358.75 |
Total Medical Medicare Standardized Payment Amount |
354974.39 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1601 |
Number Of Beneficiaries Age 65 to 74 |
2442 |
Number Of Beneficiaries Age 75 to 84 |
1759 |
Number Of Beneficiaries Age Greater 84 |
866 |
Number Of Female Beneficiaries |
3887 |
Number Of Male Beneficiaries |
2781 |
Number Of Non Hispanic White Beneficiaries |
5034 |
Number Of Black or African American Beneficiaries |
1569 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
4043 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2625 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7012 |