National Provider Identifier [NPI]: |
1750362497 |
Last Name Of The Provider |
BINGHAM |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
770 MIDDLE ST |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
FAIRHOPE |
Zip Code Of The Provider |
365321766 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
2078 |
Number Of Medicare Beneficiaries |
736 |
Total Submitted Charge Amount |
176486.5 |
Total Medicare Allowed Amount |
128392.88 |
Total Medicare Payment Amount |
93251.77 |
Total Medicare Standardized Payment Amount |
101991.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
237 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
5365 |
Total Drug Medicare AllowedAmount |
3116.54 |
Total Drug Medicare PaymentAmount |
2966.94 |
Total Drug Medicare Standardized Payment Amount |
2966.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1841 |
Number Of Medicare Beneficiaries With Medical Services |
736 |
Total Medical Submitted Charge Amount |
171121.5 |
Total Medical Medicare Allowed Amount |
125276.34 |
Total Medical Medicare Payment Amount |
90284.83 |
Total Medical Medicare Standardized Payment Amount |
99024.99 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
692 |
Number Of Black or African American Beneficiaries |
29 |
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 |
704 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9309 |