National Provider Identifier [NPI]: |
1992797161 |
Last Name Of The Provider |
MILAM |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
830 S GLOSTER ST |
Street Address 2 Of The Provider |
4TH FLOOR EAST TOWER |
City Of The Provider |
TUPELO |
Zip Code Of The Provider |
388014934 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
25483 |
Number Of Medicare Beneficiaries |
1211 |
Total Submitted Charge Amount |
1768799 |
Total Medicare Allowed Amount |
565766.88 |
Total Medicare Payment Amount |
423218.06 |
Total Medicare Standardized Payment Amount |
460140.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
17008 |
Number Of Medicare Beneficiaries With Drug Services |
245 |
Total Drug Submitted ChargeAmount |
289737 |
Total Drug Medicare AllowedAmount |
117345.51 |
Total Drug Medicare PaymentAmount |
90257.8 |
Total Drug Medicare Standardized Payment Amount |
90257.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
8475 |
Number Of Medicare Beneficiaries With Medical Services |
1211 |
Total Medical Submitted Charge Amount |
1479062 |
Total Medical Medicare Allowed Amount |
448421.37 |
Total Medical Medicare Payment Amount |
332960.26 |
Total Medical Medicare Standardized Payment Amount |
369882.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
464 |
Number Of Beneficiaries Age 75 to 84 |
431 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
848 |
Number Of Non Hispanic White Beneficiaries |
1051 |
Number Of Black or African American Beneficiaries |
144 |
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 |
970 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1711 |