National Provider Identifier [NPI]: |
1134101116 |
Last Name Of The Provider |
CORY |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1250 JESSE JEWEL PARKWAY SE |
Street Address 2 Of The Provider |
STE 500 |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
30501 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
205 |
Number Of Services |
9574 |
Number Of Medicare Beneficiaries |
5810 |
Total Submitted Charge Amount |
1243919 |
Total Medicare Allowed Amount |
279908.74 |
Total Medicare Payment Amount |
215958.6 |
Total Medicare Standardized Payment Amount |
226081.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
205 |
Number Of Medical Services |
9574 |
Number Of Medicare Beneficiaries With Medical Services |
5810 |
Total Medical Submitted Charge Amount |
1243919 |
Total Medical Medicare Allowed Amount |
279908.74 |
Total Medical Medicare Payment Amount |
215958.6 |
Total Medical Medicare Standardized Payment Amount |
226081.01 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
806 |
Number Of Beneficiaries Age 65 to 74 |
2456 |
Number Of Beneficiaries Age 75 to 84 |
1838 |
Number Of Beneficiaries Age Greater 84 |
710 |
Number Of Female Beneficiaries |
3714 |
Number Of Male Beneficiaries |
2096 |
Number Of Non Hispanic White Beneficiaries |
5417 |
Number Of Black or African American Beneficiaries |
213 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
102 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
4579 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1231 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4737 |