National Provider Identifier [NPI]: |
1124035290 |
Last Name Of The Provider |
GRIFFITH |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11459 JOHNS CREEK PKWY |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
JOHNS CREEK |
Zip Code Of The Provider |
300973515 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
677 |
Number Of Medicare Beneficiaries |
201 |
Total Submitted Charge Amount |
61856.36 |
Total Medicare Allowed Amount |
44425.44 |
Total Medicare Payment Amount |
29186.19 |
Total Medicare Standardized Payment Amount |
32311.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
64 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
1386.19 |
Total Drug Medicare AllowedAmount |
1175.39 |
Total Drug Medicare PaymentAmount |
1150.59 |
Total Drug Medicare Standardized Payment Amount |
1150.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
613 |
Number Of Medicare Beneficiaries With Medical Services |
201 |
Total Medical Submitted Charge Amount |
60470.17 |
Total Medical Medicare Allowed Amount |
43250.05 |
Total Medical Medicare Payment Amount |
28035.6 |
Total Medical Medicare Standardized Payment Amount |
31160.67 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
86 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
182 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
8 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6384 |