National Provider Identifier [NPI]: |
1912172271 |
Last Name Of The Provider |
ADKINS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
405 BUTTERCUP DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNTAIN HOME |
Zip Code Of The Provider |
726532910 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
3012 |
Number Of Medicare Beneficiaries |
250 |
Total Submitted Charge Amount |
222243.8 |
Total Medicare Allowed Amount |
114032.69 |
Total Medicare Payment Amount |
85304.93 |
Total Medicare Standardized Payment Amount |
95470.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
326 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
5785.8 |
Total Drug Medicare AllowedAmount |
3611.05 |
Total Drug Medicare PaymentAmount |
3367.82 |
Total Drug Medicare Standardized Payment Amount |
3367.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
2686 |
Number Of Medicare Beneficiaries With Medical Services |
250 |
Total Medical Submitted Charge Amount |
216458 |
Total Medical Medicare Allowed Amount |
110421.64 |
Total Medical Medicare Payment Amount |
81937.11 |
Total Medical Medicare Standardized Payment Amount |
92102.33 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
127 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
198 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0307 |