National Provider Identifier [NPI]: |
1285622076 |
Last Name Of The Provider |
WALTON |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12 HOSPITAL CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATESVILLE |
Zip Code Of The Provider |
725017310 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
9338 |
Number Of Medicare Beneficiaries |
1678 |
Total Submitted Charge Amount |
526272.5 |
Total Medicare Allowed Amount |
347428.79 |
Total Medicare Payment Amount |
253433.6 |
Total Medicare Standardized Payment Amount |
240188.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
259 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
8015 |
Total Drug Medicare AllowedAmount |
4786.62 |
Total Drug Medicare PaymentAmount |
4662.41 |
Total Drug Medicare Standardized Payment Amount |
4662.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
9079 |
Number Of Medicare Beneficiaries With Medical Services |
1678 |
Total Medical Submitted Charge Amount |
518257.5 |
Total Medical Medicare Allowed Amount |
342642.17 |
Total Medical Medicare Payment Amount |
248771.19 |
Total Medical Medicare Standardized Payment Amount |
235526.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
271 |
Number Of Beneficiaries Age 65 to 74 |
542 |
Number Of Beneficiaries Age 75 to 84 |
587 |
Number Of Beneficiaries Age Greater 84 |
278 |
Number Of Female Beneficiaries |
871 |
Number Of Male Beneficiaries |
807 |
Number Of Non Hispanic White Beneficiaries |
1638 |
Number Of Black or African American Beneficiaries |
16 |
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 |
1181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
497 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4667 |