National Provider Identifier [NPI]: |
1831189158 |
Last Name Of The Provider |
SHERRER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1023 MEDICAL CENTER PKWY |
Street Address 2 Of The Provider |
SUITE 308 |
City Of The Provider |
SELMA |
Zip Code Of The Provider |
367016750 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
4594 |
Number Of Medicare Beneficiaries |
1055 |
Total Submitted Charge Amount |
963504 |
Total Medicare Allowed Amount |
364595.88 |
Total Medicare Payment Amount |
271074.26 |
Total Medicare Standardized Payment Amount |
293642.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
521 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
237790 |
Total Drug Medicare AllowedAmount |
95083.04 |
Total Drug Medicare PaymentAmount |
73177.02 |
Total Drug Medicare Standardized Payment Amount |
73177.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
4073 |
Number Of Medicare Beneficiaries With Medical Services |
1054 |
Total Medical Submitted Charge Amount |
725714 |
Total Medical Medicare Allowed Amount |
269512.84 |
Total Medical Medicare Payment Amount |
197897.24 |
Total Medical Medicare Standardized Payment Amount |
220465.11 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
476 |
Number Of Beneficiaries Age 75 to 84 |
332 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
871 |
Number Of Non Hispanic White Beneficiaries |
490 |
Number Of Black or African American Beneficiaries |
551 |
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 |
758 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2411 |