National Provider Identifier [NPI]: |
1881743607 |
Last Name Of The Provider |
GALLA |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6701 AIRPORT BLVD |
Street Address 2 Of The Provider |
SUITE D-330 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366086705 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
165 |
Number Of Services |
17702 |
Number Of Medicare Beneficiaries |
1831 |
Total Submitted Charge Amount |
1395766 |
Total Medicare Allowed Amount |
516437.61 |
Total Medicare Payment Amount |
389913.98 |
Total Medicare Standardized Payment Amount |
429046.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
13585 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
15498 |
Total Drug Medicare AllowedAmount |
3634.87 |
Total Drug Medicare PaymentAmount |
2679.78 |
Total Drug Medicare Standardized Payment Amount |
2679.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
161 |
Number Of Medical Services |
4117 |
Number Of Medicare Beneficiaries With Medical Services |
1831 |
Total Medical Submitted Charge Amount |
1380268 |
Total Medical Medicare Allowed Amount |
512802.74 |
Total Medical Medicare Payment Amount |
387234.2 |
Total Medical Medicare Standardized Payment Amount |
426366.23 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
299 |
Number Of Beneficiaries Age 65 to 74 |
655 |
Number Of Beneficiaries Age 75 to 84 |
606 |
Number Of Beneficiaries Age Greater 84 |
271 |
Number Of Female Beneficiaries |
969 |
Number Of Male Beneficiaries |
862 |
Number Of Non Hispanic White Beneficiaries |
1488 |
Number Of Black or African American Beneficiaries |
304 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1492 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
339 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7046 |