National Provider Identifier [NPI]: |
1932281987 |
Last Name Of The Provider |
MCLEMORE |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1496 JUNIPER LAKE ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST END |
Zip Code Of The Provider |
273768913 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
1483 |
Number Of Medicare Beneficiaries |
303 |
Total Submitted Charge Amount |
157443.91 |
Total Medicare Allowed Amount |
102786.92 |
Total Medicare Payment Amount |
77388.01 |
Total Medicare Standardized Payment Amount |
80828.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
1101.71 |
Total Drug Medicare AllowedAmount |
106.5 |
Total Drug Medicare PaymentAmount |
91.68 |
Total Drug Medicare Standardized Payment Amount |
91.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1407 |
Number Of Medicare Beneficiaries With Medical Services |
303 |
Total Medical Submitted Charge Amount |
156342.2 |
Total Medical Medicare Allowed Amount |
102680.42 |
Total Medical Medicare Payment Amount |
77296.33 |
Total Medical Medicare Standardized Payment Amount |
80736.43 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
190 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
173 |
Number Of Black or African American Beneficiaries |
116 |
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 |
117 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7074 |