National Provider Identifier [NPI]: |
1114982261 |
Last Name Of The Provider |
SIBLEY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 PRINCETON AVE SW |
Street Address 2 Of The Provider |
SUITE 706 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352111310 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
9826 |
Number Of Medicare Beneficiaries |
1209 |
Total Submitted Charge Amount |
2186997.03 |
Total Medicare Allowed Amount |
1012171.45 |
Total Medicare Payment Amount |
757411.68 |
Total Medicare Standardized Payment Amount |
836297.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
913 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
90700 |
Total Drug Medicare AllowedAmount |
47945.75 |
Total Drug Medicare PaymentAmount |
36533.96 |
Total Drug Medicare Standardized Payment Amount |
36533.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
8913 |
Number Of Medicare Beneficiaries With Medical Services |
1209 |
Total Medical Submitted Charge Amount |
2096297.03 |
Total Medical Medicare Allowed Amount |
964225.7 |
Total Medical Medicare Payment Amount |
720877.72 |
Total Medical Medicare Standardized Payment Amount |
799763.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
490 |
Number Of Beneficiaries Age 75 to 84 |
418 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
584 |
Number Of Male Beneficiaries |
625 |
Number Of Non Hispanic White Beneficiaries |
1000 |
Number Of Black or African American Beneficiaries |
|
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 |
1023 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5944 |