National Provider Identifier [NPI]: |
1669465803 |
Last Name Of The Provider |
SELIGMAN |
First Name Of The Provider |
REED |
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 |
720 TRANSIT AVE |
Street Address 2 Of The Provider |
BUILDING 100, SUITE 102 |
City Of The Provider |
CANTON |
Zip Code Of The Provider |
301142540 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
5793 |
Number Of Medicare Beneficiaries |
1701 |
Total Submitted Charge Amount |
1472416.4 |
Total Medicare Allowed Amount |
563977.06 |
Total Medicare Payment Amount |
426119.89 |
Total Medicare Standardized Payment Amount |
455479.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
544 |
Number Of Medicare Beneficiaries With Drug Services |
136 |
Total Drug Submitted ChargeAmount |
54400 |
Total Drug Medicare AllowedAmount |
28813.36 |
Total Drug Medicare PaymentAmount |
22089.85 |
Total Drug Medicare Standardized Payment Amount |
22089.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
5249 |
Number Of Medicare Beneficiaries With Medical Services |
1701 |
Total Medical Submitted Charge Amount |
1418016.4 |
Total Medical Medicare Allowed Amount |
535163.7 |
Total Medical Medicare Payment Amount |
404030.04 |
Total Medical Medicare Standardized Payment Amount |
433389.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
243 |
Number Of Beneficiaries Age 65 to 74 |
647 |
Number Of Beneficiaries Age 75 to 84 |
557 |
Number Of Beneficiaries Age Greater 84 |
254 |
Number Of Female Beneficiaries |
932 |
Number Of Male Beneficiaries |
769 |
Number Of Non Hispanic White Beneficiaries |
1170 |
Number Of Black or African American Beneficiaries |
509 |
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 |
1320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
381 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5438 |