National Provider Identifier [NPI]: |
1851400485 |
Last Name Of The Provider |
HEMSTREET |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 UNIVERSITY BLVD E |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
35401 |
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 |
126 |
Number Of Services |
15406 |
Number Of Medicare Beneficiaries |
2489 |
Total Submitted Charge Amount |
3299324.74 |
Total Medicare Allowed Amount |
1572281.2 |
Total Medicare Payment Amount |
1190552.7 |
Total Medicare Standardized Payment Amount |
1291128.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1413 |
Number Of Medicare Beneficiaries With Drug Services |
348 |
Total Drug Submitted ChargeAmount |
95277 |
Total Drug Medicare AllowedAmount |
74136.85 |
Total Drug Medicare PaymentAmount |
58122.86 |
Total Drug Medicare Standardized Payment Amount |
58122.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
13993 |
Number Of Medicare Beneficiaries With Medical Services |
2489 |
Total Medical Submitted Charge Amount |
3204047.74 |
Total Medical Medicare Allowed Amount |
1498144.35 |
Total Medical Medicare Payment Amount |
1132429.84 |
Total Medical Medicare Standardized Payment Amount |
1233005.39 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
568 |
Number Of Beneficiaries Age 65 to 74 |
977 |
Number Of Beneficiaries Age 75 to 84 |
698 |
Number Of Beneficiaries Age Greater 84 |
246 |
Number Of Female Beneficiaries |
1469 |
Number Of Male Beneficiaries |
1020 |
Number Of Non Hispanic White Beneficiaries |
1772 |
Number Of Black or African American Beneficiaries |
685 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1874 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
615 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4692 |