National Provider Identifier [NPI]: |
1285727404 |
Last Name Of The Provider |
LIMBAUGH |
First Name Of The Provider |
BRENT |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 ST.SEBASTIAN WAY |
Street Address 2 Of The Provider |
SUITE 3A |
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
30901 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
176 |
Number Of Services |
292750 |
Number Of Medicare Beneficiaries |
767 |
Total Submitted Charge Amount |
6182036 |
Total Medicare Allowed Amount |
2859234.12 |
Total Medicare Payment Amount |
2159440.37 |
Total Medicare Standardized Payment Amount |
2177622.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
85 |
Number Of Drug Services |
279245 |
Number Of Medicare Beneficiaries With Drug Services |
407 |
Total Drug Submitted ChargeAmount |
4956642 |
Total Drug Medicare AllowedAmount |
2419033.63 |
Total Drug Medicare PaymentAmount |
1810495.78 |
Total Drug Medicare Standardized Payment Amount |
1810495.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
13505 |
Number Of Medicare Beneficiaries With Medical Services |
766 |
Total Medical Submitted Charge Amount |
1225394 |
Total Medical Medicare Allowed Amount |
440200.49 |
Total Medical Medicare Payment Amount |
348944.59 |
Total Medical Medicare Standardized Payment Amount |
367126.25 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
237 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
573 |
Number Of Black or African American Beneficiaries |
172 |
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 |
639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7866 |