National Provider Identifier [NPI]: |
1114033016 |
Last Name Of The Provider |
PARKER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 18TH ST S |
Street Address 2 Of The Provider |
SUITE 503 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352331856 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
5274 |
Number Of Medicare Beneficiaries |
1144 |
Total Submitted Charge Amount |
1713055 |
Total Medicare Allowed Amount |
556442.13 |
Total Medicare Payment Amount |
409484.66 |
Total Medicare Standardized Payment Amount |
451025.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
5274 |
Number Of Medicare Beneficiaries With Medical Services |
1144 |
Total Medical Submitted Charge Amount |
1713055 |
Total Medical Medicare Allowed Amount |
556442.13 |
Total Medical Medicare Payment Amount |
409484.66 |
Total Medical Medicare Standardized Payment Amount |
451025.8 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
452 |
Number Of Beneficiaries Age 75 to 84 |
432 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
726 |
Number Of Male Beneficiaries |
418 |
Number Of Non Hispanic White Beneficiaries |
905 |
Number Of Black or African American Beneficiaries |
221 |
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 |
1062 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1231 |