National Provider Identifier [NPI]: |
1811942535 |
Last Name Of The Provider |
HEGARTY |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 E DERENNE AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
31405 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
9310 |
Number Of Medicare Beneficiaries |
928 |
Total Submitted Charge Amount |
2676300 |
Total Medicare Allowed Amount |
421637.94 |
Total Medicare Payment Amount |
315653.89 |
Total Medicare Standardized Payment Amount |
301654.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4873 |
Number Of Medicare Beneficiaries With Drug Services |
157 |
Total Drug Submitted ChargeAmount |
49617 |
Total Drug Medicare AllowedAmount |
23839.03 |
Total Drug Medicare PaymentAmount |
16031.81 |
Total Drug Medicare Standardized Payment Amount |
16031.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
4437 |
Number Of Medicare Beneficiaries With Medical Services |
927 |
Total Medical Submitted Charge Amount |
2626683 |
Total Medical Medicare Allowed Amount |
397798.91 |
Total Medical Medicare Payment Amount |
299622.08 |
Total Medical Medicare Standardized Payment Amount |
285622.65 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
231 |
Number Of Beneficiaries Age 65 to 74 |
338 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
602 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
779 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
733 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2645 |