National Provider Identifier [NPI]: |
1730387366 |
Last Name Of The Provider |
GATLIN |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
L |
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 |
DEPARTMENT OF MEDICINE |
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 |
210 |
Number Of Services |
7778 |
Number Of Medicare Beneficiaries |
4361 |
Total Submitted Charge Amount |
1493767 |
Total Medicare Allowed Amount |
274649.78 |
Total Medicare Payment Amount |
206219.65 |
Total Medicare Standardized Payment Amount |
219093.84 |
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 |
210 |
Number Of Medical Services |
7778 |
Number Of Medicare Beneficiaries With Medical Services |
4361 |
Total Medical Submitted Charge Amount |
1493767 |
Total Medical Medicare Allowed Amount |
274649.78 |
Total Medical Medicare Payment Amount |
206219.65 |
Total Medical Medicare Standardized Payment Amount |
219093.84 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1068 |
Number Of Beneficiaries Age 65 to 74 |
1465 |
Number Of Beneficiaries Age 75 to 84 |
1204 |
Number Of Beneficiaries Age Greater 84 |
624 |
Number Of Female Beneficiaries |
2653 |
Number Of Male Beneficiaries |
1708 |
Number Of Non Hispanic White Beneficiaries |
2655 |
Number Of Black or African American Beneficiaries |
1661 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2474 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1887 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7589 |