National Provider Identifier [NPI]: |
1750355731 |
Last Name Of The Provider |
STUART |
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 |
3200 DOWNWOOD CIR NW |
Street Address 2 Of The Provider |
SUITE 550 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303271610 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
7803 |
Number Of Medicare Beneficiaries |
313 |
Total Submitted Charge Amount |
213791.84 |
Total Medicare Allowed Amount |
161355.7 |
Total Medicare Payment Amount |
113846.42 |
Total Medicare Standardized Payment Amount |
125749.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
6609 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
11001.26 |
Total Drug Medicare AllowedAmount |
10443.04 |
Total Drug Medicare PaymentAmount |
8158.92 |
Total Drug Medicare Standardized Payment Amount |
8158.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
1194 |
Number Of Medicare Beneficiaries With Medical Services |
313 |
Total Medical Submitted Charge Amount |
202790.58 |
Total Medical Medicare Allowed Amount |
150912.66 |
Total Medical Medicare Payment Amount |
105687.5 |
Total Medical Medicare Standardized Payment Amount |
117590.42 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
252 |
Number Of Black or African American Beneficiaries |
|
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 |
277 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3198 |