National Provider Identifier [NPI]: |
1326131467 |
Last Name Of The Provider |
HOLMES |
First Name Of The Provider |
THOMAS |
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 |
780 CANTON RD NE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300607241 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
3264 |
Number Of Medicare Beneficiaries |
1017 |
Total Submitted Charge Amount |
818966 |
Total Medicare Allowed Amount |
333339.33 |
Total Medicare Payment Amount |
243082.08 |
Total Medicare Standardized Payment Amount |
247017.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
523 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
7620 |
Total Drug Medicare AllowedAmount |
778.01 |
Total Drug Medicare PaymentAmount |
584.85 |
Total Drug Medicare Standardized Payment Amount |
584.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2741 |
Number Of Medicare Beneficiaries With Medical Services |
1017 |
Total Medical Submitted Charge Amount |
811346 |
Total Medical Medicare Allowed Amount |
332561.32 |
Total Medical Medicare Payment Amount |
242497.23 |
Total Medical Medicare Standardized Payment Amount |
246433.06 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
364 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
565 |
Number Of Male Beneficiaries |
452 |
Number Of Non Hispanic White Beneficiaries |
899 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
12 |
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 |
868 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
31 |
Average HCC Risk Score Of Beneficiaries |
1.774 |