National Provider Identifier [NPI]: |
1700864972 |
Last Name Of The Provider |
STILES |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5665 PEACHTREE DUNWOODY RD NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303421764 |
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 |
166 |
Number Of Services |
4073 |
Number Of Medicare Beneficiaries |
2231 |
Total Submitted Charge Amount |
404645 |
Total Medicare Allowed Amount |
109256.98 |
Total Medicare Payment Amount |
89862.29 |
Total Medicare Standardized Payment Amount |
90979.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
166 |
Number Of Medical Services |
4073 |
Number Of Medicare Beneficiaries With Medical Services |
2231 |
Total Medical Submitted Charge Amount |
404645 |
Total Medical Medicare Allowed Amount |
109256.98 |
Total Medical Medicare Payment Amount |
89862.29 |
Total Medical Medicare Standardized Payment Amount |
90979.33 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
494 |
Number Of Beneficiaries Age 65 to 74 |
935 |
Number Of Beneficiaries Age 75 to 84 |
581 |
Number Of Beneficiaries Age Greater 84 |
221 |
Number Of Female Beneficiaries |
1658 |
Number Of Male Beneficiaries |
573 |
Number Of Non Hispanic White Beneficiaries |
1334 |
Number Of Black or African American Beneficiaries |
831 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1600 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
631 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7148 |