National Provider Identifier [NPI]: |
1467489930 |
Last Name Of The Provider |
SPURZEM |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 NORTH STATE STREET |
Street Address 2 Of The Provider |
DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164500 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
1798 |
Number Of Medicare Beneficiaries |
638 |
Total Submitted Charge Amount |
509299.6 |
Total Medicare Allowed Amount |
199856.19 |
Total Medicare Payment Amount |
152593.12 |
Total Medicare Standardized Payment Amount |
161643.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
1391.6 |
Total Drug Medicare AllowedAmount |
558.04 |
Total Drug Medicare PaymentAmount |
546.7 |
Total Drug Medicare Standardized Payment Amount |
546.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
1773 |
Number Of Medicare Beneficiaries With Medical Services |
638 |
Total Medical Submitted Charge Amount |
507908 |
Total Medical Medicare Allowed Amount |
199298.15 |
Total Medical Medicare Payment Amount |
152046.42 |
Total Medical Medicare Standardized Payment Amount |
161096.55 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
290 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
356 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
302 |
Number Of Black or African American Beneficiaries |
325 |
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 |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
352 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3069 |