National Provider Identifier [NPI]: |
1184689184 |
Last Name Of The Provider |
SPALDING |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2051 CLEVIDENCE BLVD |
Street Address 2 Of The Provider |
STE. 1 |
City Of The Provider |
CLARKSVILLE |
Zip Code Of The Provider |
471292278 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
210 |
Number Of Services |
7509 |
Number Of Medicare Beneficiaries |
1411 |
Total Submitted Charge Amount |
793394 |
Total Medicare Allowed Amount |
391306.14 |
Total Medicare Payment Amount |
290253.19 |
Total Medicare Standardized Payment Amount |
314699.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
938 |
Number Of Medicare Beneficiaries With Drug Services |
298 |
Total Drug Submitted ChargeAmount |
53380 |
Total Drug Medicare AllowedAmount |
27830.78 |
Total Drug Medicare PaymentAmount |
24990 |
Total Drug Medicare Standardized Payment Amount |
24990 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
190 |
Number Of Medical Services |
6571 |
Number Of Medicare Beneficiaries With Medical Services |
1408 |
Total Medical Submitted Charge Amount |
740014 |
Total Medical Medicare Allowed Amount |
363475.36 |
Total Medical Medicare Payment Amount |
265263.19 |
Total Medical Medicare Standardized Payment Amount |
289709.02 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
274 |
Number Of Beneficiaries Age 65 to 74 |
616 |
Number Of Beneficiaries Age 75 to 84 |
368 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
997 |
Number Of Male Beneficiaries |
414 |
Number Of Non Hispanic White Beneficiaries |
1355 |
Number Of Black or African American Beneficiaries |
36 |
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 |
1136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
275 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0579 |