National Provider Identifier [NPI]: |
1154321594 |
Last Name Of The Provider |
LOCARNINI |
First Name Of The Provider |
CASEY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1730 MOUNT VERNON RD STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUNWOODY |
Zip Code Of The Provider |
303384245 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
1586 |
Number Of Medicare Beneficiaries |
561 |
Total Submitted Charge Amount |
86569.68 |
Total Medicare Allowed Amount |
80278.96 |
Total Medicare Payment Amount |
55463.75 |
Total Medicare Standardized Payment Amount |
59765.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
1380.33 |
Total Drug Medicare AllowedAmount |
1270.43 |
Total Drug Medicare PaymentAmount |
1123.06 |
Total Drug Medicare Standardized Payment Amount |
1123.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
1272 |
Number Of Medicare Beneficiaries With Medical Services |
561 |
Total Medical Submitted Charge Amount |
85189.35 |
Total Medical Medicare Allowed Amount |
79008.53 |
Total Medical Medicare Payment Amount |
54340.69 |
Total Medical Medicare Standardized Payment Amount |
58642.06 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
357 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
536 |
Number Of Black or African American Beneficiaries |
|
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 |
549 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8383 |