National Provider Identifier [NPI]: |
1134101199 |
Last Name Of The Provider |
BARROW |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
770 PINE STREET |
Street Address 2 Of The Provider |
SUITE 290 |
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 |
197 |
Number Of Services |
6869 |
Number Of Medicare Beneficiaries |
3886 |
Total Submitted Charge Amount |
584810 |
Total Medicare Allowed Amount |
162238.74 |
Total Medicare Payment Amount |
125435.68 |
Total Medicare Standardized Payment Amount |
131924.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
718 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
3021 |
Total Drug Medicare AllowedAmount |
358.29 |
Total Drug Medicare PaymentAmount |
280.89 |
Total Drug Medicare Standardized Payment Amount |
280.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
194 |
Number Of Medical Services |
6151 |
Number Of Medicare Beneficiaries With Medical Services |
3886 |
Total Medical Submitted Charge Amount |
581789 |
Total Medical Medicare Allowed Amount |
161880.45 |
Total Medical Medicare Payment Amount |
125154.79 |
Total Medical Medicare Standardized Payment Amount |
131643.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
726 |
Number Of Beneficiaries Age 65 to 74 |
1530 |
Number Of Beneficiaries Age 75 to 84 |
1125 |
Number Of Beneficiaries Age Greater 84 |
505 |
Number Of Female Beneficiaries |
2545 |
Number Of Male Beneficiaries |
1341 |
Number Of Non Hispanic White Beneficiaries |
2890 |
Number Of Black or African American Beneficiaries |
956 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
2885 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1001 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.637 |