National Provider Identifier [NPI]: |
1134189814 |
Last Name Of The Provider |
MULLINS |
First Name Of The Provider |
DARREN |
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 |
308 DEEP SOUTH FARM RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BLAIRSVILLE |
Zip Code Of The Provider |
305122218 |
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 |
138 |
Number Of Services |
123902 |
Number Of Medicare Beneficiaries |
591 |
Total Submitted Charge Amount |
2579395.92 |
Total Medicare Allowed Amount |
1706734.48 |
Total Medicare Payment Amount |
1288583.85 |
Total Medicare Standardized Payment Amount |
1301943.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
113352 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
1863319 |
Total Drug Medicare AllowedAmount |
1429975.47 |
Total Drug Medicare PaymentAmount |
1070336.78 |
Total Drug Medicare Standardized Payment Amount |
1070336.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
10550 |
Number Of Medicare Beneficiaries With Medical Services |
591 |
Total Medical Submitted Charge Amount |
716076.92 |
Total Medical Medicare Allowed Amount |
276759.01 |
Total Medical Medicare Payment Amount |
218247.07 |
Total Medical Medicare Standardized Payment Amount |
231606.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
394 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
535 |
Number Of Black or African American Beneficiaries |
38 |
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 |
531 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6852 |