National Provider Identifier [NPI]: |
1669562039 |
Last Name Of The Provider |
SIMPSON |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 PILOT MEDICAL DRIVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352353404 |
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 |
69 |
Number Of Services |
5047 |
Number Of Medicare Beneficiaries |
1167 |
Total Submitted Charge Amount |
747082 |
Total Medicare Allowed Amount |
357000.07 |
Total Medicare Payment Amount |
265420.89 |
Total Medicare Standardized Payment Amount |
293170.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1047 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
30292 |
Total Drug Medicare AllowedAmount |
18798.89 |
Total Drug Medicare PaymentAmount |
14406.5 |
Total Drug Medicare Standardized Payment Amount |
14406.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
4000 |
Number Of Medicare Beneficiaries With Medical Services |
1167 |
Total Medical Submitted Charge Amount |
716790 |
Total Medical Medicare Allowed Amount |
338201.18 |
Total Medical Medicare Payment Amount |
251014.39 |
Total Medical Medicare Standardized Payment Amount |
278763.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
447 |
Number Of Beneficiaries Age 75 to 84 |
395 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
572 |
Number Of Male Beneficiaries |
595 |
Number Of Non Hispanic White Beneficiaries |
1084 |
Number Of Black or African American Beneficiaries |
65 |
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 |
1040 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4284 |