National Provider Identifier [NPI]: |
1457359143 |
Last Name Of The Provider |
RIGDON |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2225 US HWY 41 N |
Street Address 2 Of The Provider |
|
City Of The Provider |
TIFTON |
Zip Code Of The Provider |
31794 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
8092 |
Number Of Medicare Beneficiaries |
1450 |
Total Submitted Charge Amount |
602445.7 |
Total Medicare Allowed Amount |
314597.59 |
Total Medicare Payment Amount |
240068.33 |
Total Medicare Standardized Payment Amount |
255655.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
2551 |
Number Of Medicare Beneficiaries With Drug Services |
355 |
Total Drug Submitted ChargeAmount |
110306 |
Total Drug Medicare AllowedAmount |
39130.78 |
Total Drug Medicare PaymentAmount |
31514.98 |
Total Drug Medicare Standardized Payment Amount |
31514.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
5541 |
Number Of Medicare Beneficiaries With Medical Services |
1450 |
Total Medical Submitted Charge Amount |
492139.7 |
Total Medical Medicare Allowed Amount |
275466.81 |
Total Medical Medicare Payment Amount |
208553.35 |
Total Medical Medicare Standardized Payment Amount |
224140.47 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
516 |
Number Of Beneficiaries Age 75 to 84 |
505 |
Number Of Beneficiaries Age Greater 84 |
233 |
Number Of Female Beneficiaries |
828 |
Number Of Male Beneficiaries |
622 |
Number Of Non Hispanic White Beneficiaries |
1255 |
Number Of Black or African American Beneficiaries |
175 |
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 |
1073 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
377 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6552 |