National Provider Identifier [NPI]: |
1578506044 |
Last Name Of The Provider |
DENTON |
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 |
513 BROOKWOOD BLVD |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352096862 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
6437 |
Number Of Medicare Beneficiaries |
701 |
Total Submitted Charge Amount |
931136 |
Total Medicare Allowed Amount |
518986.22 |
Total Medicare Payment Amount |
399544.8 |
Total Medicare Standardized Payment Amount |
411448.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
4738 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
412955 |
Total Drug Medicare AllowedAmount |
328633.77 |
Total Drug Medicare PaymentAmount |
257683.69 |
Total Drug Medicare Standardized Payment Amount |
257683.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1699 |
Number Of Medicare Beneficiaries With Medical Services |
701 |
Total Medical Submitted Charge Amount |
518181 |
Total Medical Medicare Allowed Amount |
190352.45 |
Total Medical Medicare Payment Amount |
141861.11 |
Total Medical Medicare Standardized Payment Amount |
153765 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
409 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
396 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
616 |
Number Of Black or African American Beneficiaries |
70 |
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 |
664 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0842 |