National Provider Identifier [NPI]: |
1154371870 |
Last Name Of The Provider |
BRESSLER |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2665 N DECATUR RD |
Street Address 2 Of The Provider |
SUITE 330 |
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
300336149 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
4397 |
Number Of Medicare Beneficiaries |
405 |
Total Submitted Charge Amount |
635603.36 |
Total Medicare Allowed Amount |
254189.8 |
Total Medicare Payment Amount |
195448.55 |
Total Medicare Standardized Payment Amount |
197008.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2462 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
223866.86 |
Total Drug Medicare AllowedAmount |
55822.06 |
Total Drug Medicare PaymentAmount |
43829.78 |
Total Drug Medicare Standardized Payment Amount |
43829.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1935 |
Number Of Medicare Beneficiaries With Medical Services |
405 |
Total Medical Submitted Charge Amount |
411736.5 |
Total Medical Medicare Allowed Amount |
198367.74 |
Total Medical Medicare Payment Amount |
151618.77 |
Total Medical Medicare Standardized Payment Amount |
153178.58 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
97 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
183 |
Number Of Black or African American Beneficiaries |
204 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
250 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
68 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
3.5942 |