National Provider Identifier [NPI]: |
1831286699 |
Last Name Of The Provider |
HERRING |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 N STATE ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392022001 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
12237 |
Number Of Medicare Beneficiaries |
1657 |
Total Submitted Charge Amount |
6851395 |
Total Medicare Allowed Amount |
3091664 |
Total Medicare Payment Amount |
2344223.67 |
Total Medicare Standardized Payment Amount |
2415724.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3312 |
Number Of Medicare Beneficiaries With Drug Services |
455 |
Total Drug Submitted ChargeAmount |
4185735 |
Total Drug Medicare AllowedAmount |
2109133.27 |
Total Drug Medicare PaymentAmount |
1623593.37 |
Total Drug Medicare Standardized Payment Amount |
1623593.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
8925 |
Number Of Medicare Beneficiaries With Medical Services |
1657 |
Total Medical Submitted Charge Amount |
2665660 |
Total Medical Medicare Allowed Amount |
982530.73 |
Total Medical Medicare Payment Amount |
720630.3 |
Total Medical Medicare Standardized Payment Amount |
792131.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
247 |
Number Of Beneficiaries Age 65 to 74 |
631 |
Number Of Beneficiaries Age 75 to 84 |
506 |
Number Of Beneficiaries Age Greater 84 |
273 |
Number Of Female Beneficiaries |
1020 |
Number Of Male Beneficiaries |
637 |
Number Of Non Hispanic White Beneficiaries |
1153 |
Number Of Black or African American Beneficiaries |
484 |
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 |
1228 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
429 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.421 |