National Provider Identifier [NPI]: |
1154426872 |
Last Name Of The Provider |
EUDY |
First Name Of The Provider |
GREG |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD PC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2022 BROOKWOOD MEDICAL CENTER DRIVE |
Street Address 2 Of The Provider |
SUITE 211 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
35209 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
62668 |
Number Of Medicare Beneficiaries |
687 |
Total Submitted Charge Amount |
1776314.5 |
Total Medicare Allowed Amount |
1292777.52 |
Total Medicare Payment Amount |
990860.84 |
Total Medicare Standardized Payment Amount |
1013409.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
59861 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
1465560.5 |
Total Drug Medicare AllowedAmount |
1066325.86 |
Total Drug Medicare PaymentAmount |
835214.58 |
Total Drug Medicare Standardized Payment Amount |
835214.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2807 |
Number Of Medicare Beneficiaries With Medical Services |
687 |
Total Medical Submitted Charge Amount |
310754 |
Total Medical Medicare Allowed Amount |
226451.66 |
Total Medical Medicare Payment Amount |
155646.26 |
Total Medical Medicare Standardized Payment Amount |
178194.73 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
566 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
604 |
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 |
654 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
36 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1531 |