National Provider Identifier [NPI]: |
1174520688 |
Last Name Of The Provider |
ELDERS |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
630 BURNETT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNTAIN HOME |
Zip Code Of The Provider |
726532941 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
10069 |
Number Of Medicare Beneficiaries |
954 |
Total Submitted Charge Amount |
443116.19 |
Total Medicare Allowed Amount |
431724.46 |
Total Medicare Payment Amount |
331029.38 |
Total Medicare Standardized Payment Amount |
355645.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1157 |
Number Of Medicare Beneficiaries With Drug Services |
241 |
Total Drug Submitted ChargeAmount |
39225.12 |
Total Drug Medicare AllowedAmount |
36271.99 |
Total Drug Medicare PaymentAmount |
29995.89 |
Total Drug Medicare Standardized Payment Amount |
29995.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
8912 |
Number Of Medicare Beneficiaries With Medical Services |
954 |
Total Medical Submitted Charge Amount |
403891.07 |
Total Medical Medicare Allowed Amount |
395452.47 |
Total Medical Medicare Payment Amount |
301033.49 |
Total Medical Medicare Standardized Payment Amount |
325649.26 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
323 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
558 |
Number Of Male Beneficiaries |
396 |
Number Of Non Hispanic White Beneficiaries |
939 |
Number Of Black or African American Beneficiaries |
0 |
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 |
768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.307 |