National Provider Identifier [NPI]: |
1699798306 |
Last Name Of The Provider |
OLIVER |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 N STATE ST |
Street Address 2 Of The Provider |
|
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 |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
184 |
Number Of Services |
9411 |
Number Of Medicare Beneficiaries |
4398 |
Total Submitted Charge Amount |
1206291.39 |
Total Medicare Allowed Amount |
224678.37 |
Total Medicare Payment Amount |
169221.98 |
Total Medicare Standardized Payment Amount |
181891.65 |
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 |
184 |
Number Of Medical Services |
9411 |
Number Of Medicare Beneficiaries With Medical Services |
4398 |
Total Medical Submitted Charge Amount |
1206291.39 |
Total Medical Medicare Allowed Amount |
224678.37 |
Total Medical Medicare Payment Amount |
169221.98 |
Total Medical Medicare Standardized Payment Amount |
181891.65 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
1304 |
Number Of Beneficiaries Age 65 to 74 |
1490 |
Number Of Beneficiaries Age 75 to 84 |
1010 |
Number Of Beneficiaries Age Greater 84 |
594 |
Number Of Female Beneficiaries |
2900 |
Number Of Male Beneficiaries |
1498 |
Number Of Non Hispanic White Beneficiaries |
2468 |
Number Of Black or African American Beneficiaries |
1881 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
2205 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2193 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5782 |