National Provider Identifier [NPI]: |
1306942297 |
Last Name Of The Provider |
BEARD |
First Name Of The Provider |
NAHUM |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7545 AIRWAYS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTHAVEN |
Zip Code Of The Provider |
386715806 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
5271 |
Number Of Medicare Beneficiaries |
630 |
Total Submitted Charge Amount |
799634 |
Total Medicare Allowed Amount |
224522.4 |
Total Medicare Payment Amount |
162702.99 |
Total Medicare Standardized Payment Amount |
169604.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
850 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
98600 |
Total Drug Medicare AllowedAmount |
28626.75 |
Total Drug Medicare PaymentAmount |
21331.81 |
Total Drug Medicare Standardized Payment Amount |
21331.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
4421 |
Number Of Medicare Beneficiaries With Medical Services |
630 |
Total Medical Submitted Charge Amount |
701034 |
Total Medical Medicare Allowed Amount |
195895.65 |
Total Medical Medicare Payment Amount |
141371.18 |
Total Medical Medicare Standardized Payment Amount |
148272.54 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
419 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
399 |
Number Of Black or African American Beneficiaries |
219 |
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 |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2956 |