National Provider Identifier [NPI]: |
1104870971 |
Last Name Of The Provider |
MCLAUGHLIN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
480 HONEYSUCKLE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOTHAN |
Zip Code Of The Provider |
36305 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
24609 |
Number Of Medicare Beneficiaries |
2544 |
Total Submitted Charge Amount |
1714585.84 |
Total Medicare Allowed Amount |
817084.63 |
Total Medicare Payment Amount |
627745.03 |
Total Medicare Standardized Payment Amount |
677258.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
19747 |
Number Of Medicare Beneficiaries With Drug Services |
178 |
Total Drug Submitted ChargeAmount |
198627.5 |
Total Drug Medicare AllowedAmount |
169212.1 |
Total Drug Medicare PaymentAmount |
132766.32 |
Total Drug Medicare Standardized Payment Amount |
132766.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
4862 |
Number Of Medicare Beneficiaries With Medical Services |
2544 |
Total Medical Submitted Charge Amount |
1515958.34 |
Total Medical Medicare Allowed Amount |
647872.53 |
Total Medical Medicare Payment Amount |
494978.71 |
Total Medical Medicare Standardized Payment Amount |
544492.29 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
469 |
Number Of Beneficiaries Age 65 to 74 |
1125 |
Number Of Beneficiaries Age 75 to 84 |
742 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
1556 |
Number Of Male Beneficiaries |
988 |
Number Of Non Hispanic White Beneficiaries |
2073 |
Number Of Black or African American Beneficiaries |
431 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1921 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
623 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3605 |