National Provider Identifier [NPI]: |
1285695494 |
Last Name Of The Provider |
WELDON |
First Name Of The Provider |
QUINTON |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 PLANTATION RIDGE DR |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
AMERICUS |
Zip Code Of The Provider |
317095268 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
10719 |
Number Of Medicare Beneficiaries |
1042 |
Total Submitted Charge Amount |
907041 |
Total Medicare Allowed Amount |
479075.71 |
Total Medicare Payment Amount |
344470.81 |
Total Medicare Standardized Payment Amount |
367038.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
24 |
Number Of Drug Services |
4138 |
Number Of Medicare Beneficiaries With Drug Services |
423 |
Total Drug Submitted ChargeAmount |
118137 |
Total Drug Medicare AllowedAmount |
10362.35 |
Total Drug Medicare PaymentAmount |
8303.9 |
Total Drug Medicare Standardized Payment Amount |
8303.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
6581 |
Number Of Medicare Beneficiaries With Medical Services |
1042 |
Total Medical Submitted Charge Amount |
788904 |
Total Medical Medicare Allowed Amount |
468713.36 |
Total Medical Medicare Payment Amount |
336166.91 |
Total Medical Medicare Standardized Payment Amount |
358735.09 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
620 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
875 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
684 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
358 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.3819 |