National Provider Identifier [NPI]: |
1922252691 |
Last Name Of The Provider |
BOOKER |
First Name Of The Provider |
OSCAR |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 6TH AVE S |
Street Address 2 Of The Provider |
|
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352332110 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
2549 |
Number Of Medicare Beneficiaries |
1525 |
Total Submitted Charge Amount |
593631 |
Total Medicare Allowed Amount |
147860.91 |
Total Medicare Payment Amount |
107426.65 |
Total Medicare Standardized Payment Amount |
116687.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
4212 |
Total Drug Medicare AllowedAmount |
1995.12 |
Total Drug Medicare PaymentAmount |
1564.2 |
Total Drug Medicare Standardized Payment Amount |
1564.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2513 |
Number Of Medicare Beneficiaries With Medical Services |
1525 |
Total Medical Submitted Charge Amount |
589419 |
Total Medical Medicare Allowed Amount |
145865.79 |
Total Medical Medicare Payment Amount |
105862.45 |
Total Medical Medicare Standardized Payment Amount |
115122.86 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
405 |
Number Of Beneficiaries Age 65 to 74 |
585 |
Number Of Beneficiaries Age 75 to 84 |
390 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
771 |
Number Of Male Beneficiaries |
754 |
Number Of Non Hispanic White Beneficiaries |
1107 |
Number Of Black or African American Beneficiaries |
386 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1244 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0408 |