National Provider Identifier [NPI]: |
1093819799 |
Last Name Of The Provider |
WADE-HAMME |
First Name Of The Provider |
JOYCE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1040 RIVER OAKS DR |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
FLOWOOD |
Zip Code Of The Provider |
392329530 |
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 |
125 |
Number Of Services |
10024 |
Number Of Medicare Beneficiaries |
1530 |
Total Submitted Charge Amount |
1162917.5 |
Total Medicare Allowed Amount |
561761.47 |
Total Medicare Payment Amount |
426012.62 |
Total Medicare Standardized Payment Amount |
466053.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
3765 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
6195.5 |
Total Drug Medicare AllowedAmount |
1938.85 |
Total Drug Medicare PaymentAmount |
1690.55 |
Total Drug Medicare Standardized Payment Amount |
1690.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
6259 |
Number Of Medicare Beneficiaries With Medical Services |
1530 |
Total Medical Submitted Charge Amount |
1156722 |
Total Medical Medicare Allowed Amount |
559822.62 |
Total Medical Medicare Payment Amount |
424322.07 |
Total Medical Medicare Standardized Payment Amount |
464362.88 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
364 |
Number Of Beneficiaries Age 65 to 74 |
597 |
Number Of Beneficiaries Age 75 to 84 |
424 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
916 |
Number Of Male Beneficiaries |
614 |
Number Of Non Hispanic White Beneficiaries |
945 |
Number Of Black or African American Beneficiaries |
569 |
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 |
1042 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
488 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.699 |