National Provider Identifier [NPI]: |
1912098435 |
Last Name Of The Provider |
D'HEURLE |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1720 PEACHTREE ST NW |
Street Address 2 Of The Provider |
SUITE 932 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303092449 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
4471 |
Number Of Medicare Beneficiaries |
1217 |
Total Submitted Charge Amount |
1388138.9 |
Total Medicare Allowed Amount |
824413.79 |
Total Medicare Payment Amount |
619423.7 |
Total Medicare Standardized Payment Amount |
634691.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1112 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
766826.14 |
Total Drug Medicare AllowedAmount |
424547.29 |
Total Drug Medicare PaymentAmount |
331898.75 |
Total Drug Medicare Standardized Payment Amount |
331898.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3359 |
Number Of Medicare Beneficiaries With Medical Services |
1217 |
Total Medical Submitted Charge Amount |
621312.76 |
Total Medical Medicare Allowed Amount |
399866.5 |
Total Medical Medicare Payment Amount |
287524.95 |
Total Medical Medicare Standardized Payment Amount |
302792.68 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
475 |
Number Of Beneficiaries Age 75 to 84 |
432 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
698 |
Number Of Male Beneficiaries |
519 |
Number Of Non Hispanic White Beneficiaries |
896 |
Number Of Black or African American Beneficiaries |
243 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1070 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4591 |