National Provider Identifier [NPI]: |
1184693442 |
Last Name Of The Provider |
STAGGS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3130 E RACE AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SEARCY |
Zip Code Of The Provider |
721434979 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
3012 |
Number Of Medicare Beneficiaries |
848 |
Total Submitted Charge Amount |
126968 |
Total Medicare Allowed Amount |
104140.45 |
Total Medicare Payment Amount |
66894.64 |
Total Medicare Standardized Payment Amount |
77100.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
225 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
2192 |
Total Drug Medicare AllowedAmount |
602.8 |
Total Drug Medicare PaymentAmount |
207.62 |
Total Drug Medicare Standardized Payment Amount |
207.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
2787 |
Number Of Medicare Beneficiaries With Medical Services |
848 |
Total Medical Submitted Charge Amount |
124776 |
Total Medical Medicare Allowed Amount |
103537.65 |
Total Medical Medicare Payment Amount |
66687.02 |
Total Medical Medicare Standardized Payment Amount |
76892.89 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
393 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
488 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
818 |
Number Of Black or African American Beneficiaries |
18 |
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 |
717 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9432 |