National Provider Identifier [NPI]: |
1417932690 |
Last Name Of The Provider |
NATIONS |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 D A BIGLANE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKHAVEN |
Zip Code Of The Provider |
396012331 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
1305 |
Number Of Medicare Beneficiaries |
305 |
Total Submitted Charge Amount |
433778.06 |
Total Medicare Allowed Amount |
75942.06 |
Total Medicare Payment Amount |
57055.25 |
Total Medicare Standardized Payment Amount |
62155.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1827 |
Total Drug Medicare AllowedAmount |
43.83 |
Total Drug Medicare PaymentAmount |
27.48 |
Total Drug Medicare Standardized Payment Amount |
27.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1192 |
Number Of Medicare Beneficiaries With Medical Services |
305 |
Total Medical Submitted Charge Amount |
431951.06 |
Total Medical Medicare Allowed Amount |
75898.23 |
Total Medical Medicare Payment Amount |
57027.77 |
Total Medical Medicare Standardized Payment Amount |
62127.56 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
248 |
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 |
207 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.432 |