National Provider Identifier [NPI]: |
1730184961 |
Last Name Of The Provider |
BUTLER |
First Name Of The Provider |
REX |
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 |
843 S THREE NOTCH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANDALUSIA |
Zip Code Of The Provider |
364205321 |
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 |
63 |
Number Of Services |
18912 |
Number Of Medicare Beneficiaries |
1077 |
Total Submitted Charge Amount |
1540582.5 |
Total Medicare Allowed Amount |
1016873.4 |
Total Medicare Payment Amount |
746181.79 |
Total Medicare Standardized Payment Amount |
788103.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5149 |
Number Of Medicare Beneficiaries With Drug Services |
452 |
Total Drug Submitted ChargeAmount |
66471 |
Total Drug Medicare AllowedAmount |
56231.43 |
Total Drug Medicare PaymentAmount |
44688.56 |
Total Drug Medicare Standardized Payment Amount |
44688.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
13763 |
Number Of Medicare Beneficiaries With Medical Services |
1077 |
Total Medical Submitted Charge Amount |
1474111.5 |
Total Medical Medicare Allowed Amount |
960641.97 |
Total Medical Medicare Payment Amount |
701493.23 |
Total Medical Medicare Standardized Payment Amount |
743415.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
259 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
653 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
940 |
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 |
671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
406 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.3638 |