National Provider Identifier [NPI]: |
1962453829 |
Last Name Of The Provider |
HAMMOND |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
415 ELLIS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ASHLAND |
Zip Code Of The Provider |
548061631 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
2121 |
Number Of Medicare Beneficiaries |
232 |
Total Submitted Charge Amount |
203542.09 |
Total Medicare Allowed Amount |
87851.62 |
Total Medicare Payment Amount |
64154.53 |
Total Medicare Standardized Payment Amount |
66540.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
173 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
5238.79 |
Total Drug Medicare AllowedAmount |
2228.12 |
Total Drug Medicare PaymentAmount |
2027.66 |
Total Drug Medicare Standardized Payment Amount |
2027.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
1948 |
Number Of Medicare Beneficiaries With Medical Services |
232 |
Total Medical Submitted Charge Amount |
198303.3 |
Total Medical Medicare Allowed Amount |
85623.5 |
Total Medical Medicare Payment Amount |
62126.87 |
Total Medical Medicare Standardized Payment Amount |
64512.39 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
178 |
Number Of Male Beneficiaries |
54 |
Number Of Non Hispanic White Beneficiaries |
208 |
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 |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
|
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
26 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0374 |