National Provider Identifier [NPI]: |
1477545119 |
Last Name Of The Provider |
PRITCHARD |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
421 EPTING AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENWOOD |
Zip Code Of The Provider |
296464041 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
8792 |
Number Of Medicare Beneficiaries |
2879 |
Total Submitted Charge Amount |
1731471.17 |
Total Medicare Allowed Amount |
498697.4 |
Total Medicare Payment Amount |
364064.79 |
Total Medicare Standardized Payment Amount |
391652.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
350 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
38322 |
Total Drug Medicare AllowedAmount |
18535.63 |
Total Drug Medicare PaymentAmount |
14365.19 |
Total Drug Medicare Standardized Payment Amount |
14365.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
8442 |
Number Of Medicare Beneficiaries With Medical Services |
2879 |
Total Medical Submitted Charge Amount |
1693149.17 |
Total Medical Medicare Allowed Amount |
480161.77 |
Total Medical Medicare Payment Amount |
349699.6 |
Total Medical Medicare Standardized Payment Amount |
377287.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
433 |
Number Of Beneficiaries Age 65 to 74 |
1008 |
Number Of Beneficiaries Age 75 to 84 |
938 |
Number Of Beneficiaries Age Greater 84 |
500 |
Number Of Female Beneficiaries |
1483 |
Number Of Male Beneficiaries |
1396 |
Number Of Non Hispanic White Beneficiaries |
2294 |
Number Of Black or African American Beneficiaries |
554 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
2297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
582 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.562 |