National Provider Identifier [NPI]: |
1083621247 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
CASEY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
320 HOSPITAL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CANTON |
Zip Code Of The Provider |
301142432 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
183 |
Number Of Services |
21739 |
Number Of Medicare Beneficiaries |
1082 |
Total Submitted Charge Amount |
1918527 |
Total Medicare Allowed Amount |
560268.49 |
Total Medicare Payment Amount |
449788.1 |
Total Medicare Standardized Payment Amount |
452592.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
27 |
Number Of Drug Services |
6814 |
Number Of Medicare Beneficiaries With Drug Services |
464 |
Total Drug Submitted ChargeAmount |
251879 |
Total Drug Medicare AllowedAmount |
77160.68 |
Total Drug Medicare PaymentAmount |
64488.69 |
Total Drug Medicare Standardized Payment Amount |
64488.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
14925 |
Number Of Medicare Beneficiaries With Medical Services |
1082 |
Total Medical Submitted Charge Amount |
1666648 |
Total Medical Medicare Allowed Amount |
483107.81 |
Total Medical Medicare Payment Amount |
385299.41 |
Total Medical Medicare Standardized Payment Amount |
388103.87 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
533 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
555 |
Number Of Male Beneficiaries |
527 |
Number Of Non Hispanic White Beneficiaries |
1047 |
Number Of Black or African American Beneficiaries |
12 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1022 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9594 |