National Provider Identifier [NPI]: |
1457324600 |
Last Name Of The Provider |
FLANAGAN |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D. O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 S. TWINING ST., BLDG 760 |
Street Address 2 Of The Provider |
42D MEDICAL GROUP |
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
36112 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
1613 |
Number Of Medicare Beneficiaries |
322 |
Total Submitted Charge Amount |
166856.54 |
Total Medicare Allowed Amount |
94351.89 |
Total Medicare Payment Amount |
66572.34 |
Total Medicare Standardized Payment Amount |
71691.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
451 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
12167.28 |
Total Drug Medicare AllowedAmount |
7308.16 |
Total Drug Medicare PaymentAmount |
6233.48 |
Total Drug Medicare Standardized Payment Amount |
6233.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
1162 |
Number Of Medicare Beneficiaries With Medical Services |
322 |
Total Medical Submitted Charge Amount |
154689.26 |
Total Medical Medicare Allowed Amount |
87043.73 |
Total Medical Medicare Payment Amount |
60338.86 |
Total Medical Medicare Standardized Payment Amount |
65458.14 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
219 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
214 |
Number Of Black or African American Beneficiaries |
|
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 |
261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4118 |