National Provider Identifier [NPI]: |
1619918166 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2320 DOUBLE CHURCHES RD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
319092618 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
8304 |
Number Of Medicare Beneficiaries |
1662 |
Total Submitted Charge Amount |
879483.58 |
Total Medicare Allowed Amount |
554213.67 |
Total Medicare Payment Amount |
396361.02 |
Total Medicare Standardized Payment Amount |
426816.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
439 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
1317 |
Total Drug Medicare AllowedAmount |
778.28 |
Total Drug Medicare PaymentAmount |
577.25 |
Total Drug Medicare Standardized Payment Amount |
577.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
7865 |
Number Of Medicare Beneficiaries With Medical Services |
1662 |
Total Medical Submitted Charge Amount |
878166.58 |
Total Medical Medicare Allowed Amount |
553435.39 |
Total Medical Medicare Payment Amount |
395783.77 |
Total Medical Medicare Standardized Payment Amount |
426238.77 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
733 |
Number Of Beneficiaries Age 75 to 84 |
610 |
Number Of Beneficiaries Age Greater 84 |
248 |
Number Of Female Beneficiaries |
857 |
Number Of Male Beneficiaries |
805 |
Number Of Non Hispanic White Beneficiaries |
1560 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1615 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9781 |