National Provider Identifier [NPI]: |
1902888969 |
Last Name Of The Provider |
STRAWN |
First Name Of The Provider |
LOY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
770 PINE ST STE 290 |
Street Address 2 Of The Provider |
ATTN: RADIOLOGY DEPARTMENT |
City Of The Provider |
MACON |
Zip Code Of The Provider |
312017516 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
198 |
Number Of Services |
7900 |
Number Of Medicare Beneficiaries |
4105 |
Total Submitted Charge Amount |
885979 |
Total Medicare Allowed Amount |
203140.53 |
Total Medicare Payment Amount |
153185.04 |
Total Medicare Standardized Payment Amount |
164556.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1890 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
14878 |
Total Drug Medicare AllowedAmount |
485.15 |
Total Drug Medicare PaymentAmount |
380.48 |
Total Drug Medicare Standardized Payment Amount |
380.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
195 |
Number Of Medical Services |
6010 |
Number Of Medicare Beneficiaries With Medical Services |
4104 |
Total Medical Submitted Charge Amount |
871101 |
Total Medical Medicare Allowed Amount |
202655.38 |
Total Medical Medicare Payment Amount |
152804.56 |
Total Medical Medicare Standardized Payment Amount |
164176.07 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
897 |
Number Of Beneficiaries Age 65 to 74 |
1620 |
Number Of Beneficiaries Age 75 to 84 |
1119 |
Number Of Beneficiaries Age Greater 84 |
469 |
Number Of Female Beneficiaries |
2385 |
Number Of Male Beneficiaries |
1720 |
Number Of Non Hispanic White Beneficiaries |
2848 |
Number Of Black or African American Beneficiaries |
1196 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2887 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1218 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9176 |