National Provider Identifier [NPI]: |
1952303208 |
Last Name Of The Provider |
FERZOCO |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1111 S RALEIGH AVE |
Street Address 2 Of The Provider |
STE 100A |
City Of The Provider |
SHEFFIELD |
Zip Code Of The Provider |
356606350 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
258 |
Number Of Services |
11555 |
Number Of Medicare Beneficiaries |
5498 |
Total Submitted Charge Amount |
1157005 |
Total Medicare Allowed Amount |
321836.38 |
Total Medicare Payment Amount |
248632.64 |
Total Medicare Standardized Payment Amount |
267359.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
258 |
Number Of Medical Services |
11555 |
Number Of Medicare Beneficiaries With Medical Services |
5498 |
Total Medical Submitted Charge Amount |
1157005 |
Total Medical Medicare Allowed Amount |
321836.38 |
Total Medical Medicare Payment Amount |
248632.64 |
Total Medical Medicare Standardized Payment Amount |
267359.2 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1264 |
Number Of Beneficiaries Age 65 to 74 |
2069 |
Number Of Beneficiaries Age 75 to 84 |
1550 |
Number Of Beneficiaries Age Greater 84 |
615 |
Number Of Female Beneficiaries |
3476 |
Number Of Male Beneficiaries |
2022 |
Number Of Non Hispanic White Beneficiaries |
4973 |
Number Of Black or African American Beneficiaries |
462 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
3925 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1573 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4015 |