National Provider Identifier [NPI]: |
1972512069 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
SAMUEL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5670 PEACHTREE DUNWOODY RD NE |
Street Address 2 Of The Provider |
SUITE 1200 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303421699 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1633 |
Number Of Medicare Beneficiaries |
369 |
Total Submitted Charge Amount |
221439 |
Total Medicare Allowed Amount |
75149.05 |
Total Medicare Payment Amount |
54870.69 |
Total Medicare Standardized Payment Amount |
54689.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
3429 |
Total Drug Medicare AllowedAmount |
1764.14 |
Total Drug Medicare PaymentAmount |
1726.68 |
Total Drug Medicare Standardized Payment Amount |
1726.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1567 |
Number Of Medicare Beneficiaries With Medical Services |
369 |
Total Medical Submitted Charge Amount |
218010 |
Total Medical Medicare Allowed Amount |
73384.91 |
Total Medical Medicare Payment Amount |
53144.01 |
Total Medical Medicare Standardized Payment Amount |
52962.89 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
319 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8636 |