National Provider Identifier [NPI]: |
1386706752 |
Last Name Of The Provider |
MCCOY |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD FACP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 EAST AVALON AVE |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
MUSCLE SHOALS |
Zip Code Of The Provider |
35661 |
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 |
129 |
Number Of Services |
20786 |
Number Of Medicare Beneficiaries |
1221 |
Total Submitted Charge Amount |
936526 |
Total Medicare Allowed Amount |
579492.15 |
Total Medicare Payment Amount |
445124.16 |
Total Medicare Standardized Payment Amount |
450630.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
5848 |
Number Of Medicare Beneficiaries With Drug Services |
339 |
Total Drug Submitted ChargeAmount |
94216 |
Total Drug Medicare AllowedAmount |
38547.56 |
Total Drug Medicare PaymentAmount |
30571.53 |
Total Drug Medicare Standardized Payment Amount |
30571.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
14938 |
Number Of Medicare Beneficiaries With Medical Services |
1221 |
Total Medical Submitted Charge Amount |
842310 |
Total Medical Medicare Allowed Amount |
540944.59 |
Total Medical Medicare Payment Amount |
414552.63 |
Total Medical Medicare Standardized Payment Amount |
420059.1 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
452 |
Number Of Beneficiaries Age 75 to 84 |
409 |
Number Of Beneficiaries Age Greater 84 |
184 |
Number Of Female Beneficiaries |
735 |
Number Of Male Beneficiaries |
486 |
Number Of Non Hispanic White Beneficiaries |
1088 |
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 |
937 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
284 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4242 |