National Provider Identifier [NPI]: |
1679682181 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 BRUNSWICK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHARLOTTE |
Zip Code Of The Provider |
282071822 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
6621 |
Number Of Medicare Beneficiaries |
1808 |
Total Submitted Charge Amount |
2988967 |
Total Medicare Allowed Amount |
755748.83 |
Total Medicare Payment Amount |
567543.15 |
Total Medicare Standardized Payment Amount |
605157.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
928 |
Number Of Medicare Beneficiaries With Drug Services |
245 |
Total Drug Submitted ChargeAmount |
174544 |
Total Drug Medicare AllowedAmount |
45271.01 |
Total Drug Medicare PaymentAmount |
35117.5 |
Total Drug Medicare Standardized Payment Amount |
35117.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
5693 |
Number Of Medicare Beneficiaries With Medical Services |
1808 |
Total Medical Submitted Charge Amount |
2814423 |
Total Medical Medicare Allowed Amount |
710477.82 |
Total Medical Medicare Payment Amount |
532425.65 |
Total Medical Medicare Standardized Payment Amount |
570040.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
963 |
Number Of Beneficiaries Age 75 to 84 |
584 |
Number Of Beneficiaries Age Greater 84 |
202 |
Number Of Female Beneficiaries |
856 |
Number Of Male Beneficiaries |
952 |
Number Of Non Hispanic White Beneficiaries |
1628 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1742 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
0.9899 |