National Provider Identifier [NPI]: |
1831143304 |
Last Name Of The Provider |
VOEGELE |
First Name Of The Provider |
STANFORD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1107 MEMORIAL DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
DALTON |
Zip Code Of The Provider |
307208662 |
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 |
112 |
Number Of Services |
12651 |
Number Of Medicare Beneficiaries |
1043 |
Total Submitted Charge Amount |
674305.5 |
Total Medicare Allowed Amount |
413183.95 |
Total Medicare Payment Amount |
311986.25 |
Total Medicare Standardized Payment Amount |
313736.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1481 |
Number Of Medicare Beneficiaries With Drug Services |
300 |
Total Drug Submitted ChargeAmount |
20088.5 |
Total Drug Medicare AllowedAmount |
7104.91 |
Total Drug Medicare PaymentAmount |
6297.54 |
Total Drug Medicare Standardized Payment Amount |
6297.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
11170 |
Number Of Medicare Beneficiaries With Medical Services |
1043 |
Total Medical Submitted Charge Amount |
654217 |
Total Medical Medicare Allowed Amount |
406079.04 |
Total Medical Medicare Payment Amount |
305688.71 |
Total Medical Medicare Standardized Payment Amount |
307439.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
380 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
698 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
1003 |
Number Of Black or African American Beneficiaries |
25 |
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 |
866 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
177 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2647 |