National Provider Identifier [NPI]: |
1265643779 |
Last Name Of The Provider |
FRANKEL |
First Name Of The Provider |
SAM |
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 |
1005 W MARKET ST |
Street Address 2 Of The Provider |
STE 8 |
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
356112454 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
3736 |
Number Of Medicare Beneficiaries |
810 |
Total Submitted Charge Amount |
476798 |
Total Medicare Allowed Amount |
197023.8 |
Total Medicare Payment Amount |
142208.43 |
Total Medicare Standardized Payment Amount |
154978.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
227 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
2648 |
Total Drug Medicare AllowedAmount |
561.53 |
Total Drug Medicare PaymentAmount |
410.2 |
Total Drug Medicare Standardized Payment Amount |
410.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
3509 |
Number Of Medicare Beneficiaries With Medical Services |
810 |
Total Medical Submitted Charge Amount |
474150 |
Total Medical Medicare Allowed Amount |
196462.27 |
Total Medical Medicare Payment Amount |
141798.23 |
Total Medical Medicare Standardized Payment Amount |
154568.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
461 |
Number Of Male Beneficiaries |
349 |
Number Of Non Hispanic White Beneficiaries |
735 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
687 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0873 |