National Provider Identifier [NPI]: |
1831105683 |
Last Name Of The Provider |
BEAM |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3215 N NORTHHILLS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAYETTEVILLE |
Zip Code Of The Provider |
727034007 |
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 |
27 |
Number Of Services |
870 |
Number Of Medicare Beneficiaries |
520 |
Total Submitted Charge Amount |
495898 |
Total Medicare Allowed Amount |
91712.09 |
Total Medicare Payment Amount |
71007.97 |
Total Medicare Standardized Payment Amount |
75405.04 |
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 |
27 |
Number Of Medical Services |
870 |
Number Of Medicare Beneficiaries With Medical Services |
520 |
Total Medical Submitted Charge Amount |
495898 |
Total Medical Medicare Allowed Amount |
91712.09 |
Total Medical Medicare Payment Amount |
71007.97 |
Total Medical Medicare Standardized Payment Amount |
75405.04 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
328 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
459 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
234 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8049 |