Medicare Facts for Dr. Jeffrey L. Clark, MD


National Provider Identifier [NPI]: 1316946957
Last Name Of The Provider CLARK
First Name Of The Provider JEFFREY
Middle Initial Of The Provider I
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4890 ROSWELL RD NE
Street Address 2 Of The Provider SUITE 250
City Of The Provider ATLANTA
Zip Code Of The Provider 303422606
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 53
Number Of Services 3660
Number Of Medicare Beneficiaries 520
Total Submitted Charge Amount 377598
Total Medicare Allowed Amount 160785.74
Total Medicare Payment Amount 111185.09
Total Medicare Standardized Payment Amount 110966.16
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 242
Number Of Medicare Beneficiaries With Drug Services 176
Total Drug Submitted ChargeAmount 22234
Total Drug Medicare AllowedAmount 7379.98
Total Drug Medicare PaymentAmount 7173.39
Total Drug Medicare Standardized Payment Amount 7173.39
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 46
Number Of Medical Services 3418
Number Of Medicare Beneficiaries With Medical Services 520
Total Medical Submitted Charge Amount 355364
Total Medical Medicare Allowed Amount 153405.76
Total Medical Medicare Payment Amount 104011.7
Total Medical Medicare Standardized Payment Amount 103792.77
Average Age Of Beneficiaries 78
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 183
Number Of Beneficiaries Age 75 to 84 202
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 274
Number Of Male Beneficiaries 246
Number Of Non Hispanic White Beneficiaries 475
Number Of Black or African American Beneficiaries 30
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 14
Percent Of With Diabetes 17
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9229

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