National Provider Identifier [NPI]: |
1942454871 |
Last Name Of The Provider |
MOREJON |
First Name Of The Provider |
ALBERTO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 PERIMETER CENTER TER NE |
Street Address 2 Of The Provider |
SUITE 900 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303461227 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
3428 |
Number Of Medicare Beneficiaries |
1058 |
Total Submitted Charge Amount |
538683 |
Total Medicare Allowed Amount |
304119.57 |
Total Medicare Payment Amount |
235276 |
Total Medicare Standardized Payment Amount |
235043.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
6 |
Number Of Medical Services |
3428 |
Number Of Medicare Beneficiaries With Medical Services |
1058 |
Total Medical Submitted Charge Amount |
538683 |
Total Medical Medicare Allowed Amount |
304119.57 |
Total Medical Medicare Payment Amount |
235276 |
Total Medical Medicare Standardized Payment Amount |
235043.84 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
378 |
Number Of Beneficiaries Age Greater 84 |
382 |
Number Of Female Beneficiaries |
684 |
Number Of Male Beneficiaries |
374 |
Number Of Non Hispanic White Beneficiaries |
845 |
Number Of Black or African American Beneficiaries |
176 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
847 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.2033 |