National Provider Identifier [NPI]: |
1487628111 |
Last Name Of The Provider |
BIRK |
First Name Of The Provider |
RAINER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 MEDICAL AVE |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
ANDALUSIA |
Zip Code Of The Provider |
36420 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
3329 |
Number Of Medicare Beneficiaries |
646 |
Total Submitted Charge Amount |
414452.5 |
Total Medicare Allowed Amount |
253185.51 |
Total Medicare Payment Amount |
186791.48 |
Total Medicare Standardized Payment Amount |
201374.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
111 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
1815 |
Total Drug Medicare AllowedAmount |
336.75 |
Total Drug Medicare PaymentAmount |
215.03 |
Total Drug Medicare Standardized Payment Amount |
215.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3218 |
Number Of Medicare Beneficiaries With Medical Services |
646 |
Total Medical Submitted Charge Amount |
412637.5 |
Total Medical Medicare Allowed Amount |
252848.76 |
Total Medical Medicare Payment Amount |
186576.45 |
Total Medical Medicare Standardized Payment Amount |
201159.94 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
374 |
Number Of Male Beneficiaries |
272 |
Number Of Non Hispanic White Beneficiaries |
552 |
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 |
428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
218 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.4643 |