National Provider Identifier [NPI]: |
1275746992 |
Last Name Of The Provider |
PROCTOR |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 UNIVERSITY BLVD. EAST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354017428 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
6540 |
Number Of Medicare Beneficiaries |
1422 |
Total Submitted Charge Amount |
1225520.35 |
Total Medicare Allowed Amount |
628488.52 |
Total Medicare Payment Amount |
480174.88 |
Total Medicare Standardized Payment Amount |
516698.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
885 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
54500.75 |
Total Drug Medicare AllowedAmount |
45070.36 |
Total Drug Medicare PaymentAmount |
35035.88 |
Total Drug Medicare Standardized Payment Amount |
35035.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
5655 |
Number Of Medicare Beneficiaries With Medical Services |
1422 |
Total Medical Submitted Charge Amount |
1171019.6 |
Total Medical Medicare Allowed Amount |
583418.16 |
Total Medical Medicare Payment Amount |
445139 |
Total Medical Medicare Standardized Payment Amount |
481662.77 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
361 |
Number Of Beneficiaries Age 65 to 74 |
500 |
Number Of Beneficiaries Age 75 to 84 |
405 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
807 |
Number Of Male Beneficiaries |
615 |
Number Of Non Hispanic White Beneficiaries |
935 |
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 |
999 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
423 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6304 |