National Provider Identifier [NPI]: |
1649225921 |
Last Name Of The Provider |
SOTER-PEARSALL |
First Name Of The Provider |
DESIREE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 MEMORIAL HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366081786 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
7688 |
Number Of Medicare Beneficiaries |
651 |
Total Submitted Charge Amount |
341535 |
Total Medicare Allowed Amount |
242635.66 |
Total Medicare Payment Amount |
186053.13 |
Total Medicare Standardized Payment Amount |
199134.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
1593 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
14209 |
Total Drug Medicare AllowedAmount |
7265.3 |
Total Drug Medicare PaymentAmount |
6093.32 |
Total Drug Medicare Standardized Payment Amount |
6093.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
6095 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
327326 |
Total Medical Medicare Allowed Amount |
235370.36 |
Total Medical Medicare Payment Amount |
179959.81 |
Total Medical Medicare Standardized Payment Amount |
193040.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
429 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
480 |
Number Of Black or African American Beneficiaries |
159 |
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 |
560 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5536 |