National Provider Identifier [NPI]: |
1972701001 |
Last Name Of The Provider |
STRINGFELLOW |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3599 UNIVERSITY BLVD. S. |
Street Address 2 Of The Provider |
BLDG. 300 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322160000 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
270 |
Number Of Services |
4442 |
Number Of Medicare Beneficiaries |
2222 |
Total Submitted Charge Amount |
903960 |
Total Medicare Allowed Amount |
226941.2 |
Total Medicare Payment Amount |
176722.24 |
Total Medicare Standardized Payment Amount |
174924.31 |
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 |
270 |
Number Of Medical Services |
4442 |
Number Of Medicare Beneficiaries With Medical Services |
2222 |
Total Medical Submitted Charge Amount |
903960 |
Total Medical Medicare Allowed Amount |
226941.2 |
Total Medical Medicare Payment Amount |
176722.24 |
Total Medical Medicare Standardized Payment Amount |
174924.31 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
425 |
Number Of Beneficiaries Age 65 to 74 |
758 |
Number Of Beneficiaries Age 75 to 84 |
694 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
1233 |
Number Of Male Beneficiaries |
989 |
Number Of Non Hispanic White Beneficiaries |
1809 |
Number Of Black or African American Beneficiaries |
266 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
92 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1582 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
640 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.4758 |