National Provider Identifier [NPI]: |
1689632093 |
Last Name Of The Provider |
FIELD |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
811 13TH ST |
Street Address 2 Of The Provider |
SUITE 14 |
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
309012700 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
19355 |
Number Of Medicare Beneficiaries |
699 |
Total Submitted Charge Amount |
1666758 |
Total Medicare Allowed Amount |
692116.23 |
Total Medicare Payment Amount |
530945.83 |
Total Medicare Standardized Payment Amount |
545015.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
11671 |
Number Of Medicare Beneficiaries With Drug Services |
333 |
Total Drug Submitted ChargeAmount |
995439 |
Total Drug Medicare AllowedAmount |
443329.43 |
Total Drug Medicare PaymentAmount |
347266.42 |
Total Drug Medicare Standardized Payment Amount |
347266.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
7684 |
Number Of Medicare Beneficiaries With Medical Services |
699 |
Total Medical Submitted Charge Amount |
671319 |
Total Medical Medicare Allowed Amount |
248786.8 |
Total Medical Medicare Payment Amount |
183679.41 |
Total Medical Medicare Standardized Payment Amount |
197748.96 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
212 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
178 |
Number Of Non Hispanic White Beneficiaries |
558 |
Number Of Black or African American Beneficiaries |
|
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 |
637 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3011 |