National Provider Identifier [NPI]: |
1144217118 |
Last Name Of The Provider |
FIELDS |
First Name Of The Provider |
CAROLYN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1028 N CHURCH ST |
Street Address 2 Of The Provider |
PARIS VIEW FAMILY PRACTICE PA |
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
296011639 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
2789 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
256100.25 |
Total Medicare Allowed Amount |
141711.98 |
Total Medicare Payment Amount |
100284.18 |
Total Medicare Standardized Payment Amount |
106463.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
233 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
6915 |
Total Drug Medicare AllowedAmount |
4572.33 |
Total Drug Medicare PaymentAmount |
4158.26 |
Total Drug Medicare Standardized Payment Amount |
4158.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
2556 |
Number Of Medicare Beneficiaries With Medical Services |
430 |
Total Medical Submitted Charge Amount |
249185.25 |
Total Medical Medicare Allowed Amount |
137139.65 |
Total Medical Medicare Payment Amount |
96125.92 |
Total Medical Medicare Standardized Payment Amount |
102304.76 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
100 |
Number Of Non Hispanic White Beneficiaries |
394 |
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 |
405 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0526 |