National Provider Identifier [NPI]: |
1124236641 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
SUSAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1331 N. ELM ST. |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GREENSBORO |
Zip Code Of The Provider |
274016304 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
3781 |
Number Of Medicare Beneficiaries |
1765 |
Total Submitted Charge Amount |
346243.75 |
Total Medicare Allowed Amount |
119728.68 |
Total Medicare Payment Amount |
100217.27 |
Total Medicare Standardized Payment Amount |
106911.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
728 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
487.67 |
Total Drug Medicare AllowedAmount |
336.07 |
Total Drug Medicare PaymentAmount |
263.5 |
Total Drug Medicare Standardized Payment Amount |
263.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
3053 |
Number Of Medicare Beneficiaries With Medical Services |
1765 |
Total Medical Submitted Charge Amount |
345756.08 |
Total Medical Medicare Allowed Amount |
119392.61 |
Total Medical Medicare Payment Amount |
99953.77 |
Total Medical Medicare Standardized Payment Amount |
106647.7 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
356 |
Number Of Beneficiaries Age 65 to 74 |
746 |
Number Of Beneficiaries Age 75 to 84 |
439 |
Number Of Beneficiaries Age Greater 84 |
224 |
Number Of Female Beneficiaries |
1417 |
Number Of Male Beneficiaries |
348 |
Number Of Non Hispanic White Beneficiaries |
1340 |
Number Of Black or African American Beneficiaries |
379 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
445 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4104 |