National Provider Identifier [NPI]: |
1225086192 |
Last Name Of The Provider |
ALBERT |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
705 DIXIE ST |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
CARROLLTON |
Zip Code Of The Provider |
301173818 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
5618 |
Number Of Medicare Beneficiaries |
1541 |
Total Submitted Charge Amount |
1363047.02 |
Total Medicare Allowed Amount |
499911.56 |
Total Medicare Payment Amount |
373316.54 |
Total Medicare Standardized Payment Amount |
361335.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
844 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
59307 |
Total Drug Medicare AllowedAmount |
19909.05 |
Total Drug Medicare PaymentAmount |
15144.04 |
Total Drug Medicare Standardized Payment Amount |
15144.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
4774 |
Number Of Medicare Beneficiaries With Medical Services |
1541 |
Total Medical Submitted Charge Amount |
1303740.02 |
Total Medical Medicare Allowed Amount |
480002.51 |
Total Medical Medicare Payment Amount |
358172.5 |
Total Medical Medicare Standardized Payment Amount |
346191.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
652 |
Number Of Beneficiaries Age 75 to 84 |
503 |
Number Of Beneficiaries Age Greater 84 |
268 |
Number Of Female Beneficiaries |
815 |
Number Of Male Beneficiaries |
726 |
Number Of Non Hispanic White Beneficiaries |
1119 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
279 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1278 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
263 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2818 |