National Provider Identifier [NPI]: |
1811177884 |
Last Name Of The Provider |
RHEAUME |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10 BOWEN CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARTERSVILLE |
Zip Code Of The Provider |
301202494 |
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 |
267 |
Number Of Services |
6566 |
Number Of Medicare Beneficiaries |
3647 |
Total Submitted Charge Amount |
682186.09 |
Total Medicare Allowed Amount |
216153.14 |
Total Medicare Payment Amount |
163875.8 |
Total Medicare Standardized Payment Amount |
171681.34 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
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Total Drug Medicare PaymentAmount |
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Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
971 |
Number Of Beneficiaries Age 65 to 74 |
1367 |
Number Of Beneficiaries Age 75 to 84 |
944 |
Number Of Beneficiaries Age Greater 84 |
365 |
Number Of Female Beneficiaries |
2242 |
Number Of Male Beneficiaries |
1405 |
Number Of Non Hispanic White Beneficiaries |
3385 |
Number Of Black or African American Beneficiaries |
183 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1253 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5935 |