National Provider Identifier [NPI]: |
1013107762 |
Last Name Of The Provider |
REED |
First Name Of The Provider |
CHRISTOPHOR |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 N STATE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164500 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
2981 |
Number Of Medicare Beneficiaries |
1694 |
Total Submitted Charge Amount |
216615 |
Total Medicare Allowed Amount |
52937.37 |
Total Medicare Payment Amount |
40022.11 |
Total Medicare Standardized Payment Amount |
42667.23 |
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 |
97 |
Number Of Medical Services |
2981 |
Number Of Medicare Beneficiaries With Medical Services |
1694 |
Total Medical Submitted Charge Amount |
216615 |
Total Medical Medicare Allowed Amount |
52937.37 |
Total Medical Medicare Payment Amount |
40022.11 |
Total Medical Medicare Standardized Payment Amount |
42667.23 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
641 |
Number Of Beneficiaries Age 65 to 74 |
569 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
184 |
Number Of Female Beneficiaries |
950 |
Number Of Male Beneficiaries |
744 |
Number Of Non Hispanic White Beneficiaries |
935 |
Number Of Black or African American Beneficiaries |
735 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
897 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
797 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.725 |