National Provider Identifier [NPI]: |
1912997883 |
Last Name Of The Provider |
OSBON |
First Name Of The Provider |
REGINALD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
770 PINE ST STE 290 |
Street Address 2 Of The Provider |
ATTN: RADIOLOGY DEPARTMENT |
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 |
183 |
Number Of Services |
5626 |
Number Of Medicare Beneficiaries |
3455 |
Total Submitted Charge Amount |
451544 |
Total Medicare Allowed Amount |
125438.69 |
Total Medicare Payment Amount |
97754.56 |
Total Medicare Standardized Payment Amount |
102133.06 |
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 |
|
Total Drug Medicare PaymentAmount |
|
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 |
71 |
Number Of Beneficiaries Age Less65 |
660 |
Number Of Beneficiaries Age 65 to 74 |
1397 |
Number Of Beneficiaries Age 75 to 84 |
1020 |
Number Of Beneficiaries Age Greater 84 |
378 |
Number Of Female Beneficiaries |
2286 |
Number Of Male Beneficiaries |
1169 |
Number Of Non Hispanic White Beneficiaries |
2489 |
Number Of Black or African American Beneficiaries |
921 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2630 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
825 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5621 |