National Provider Identifier [NPI]: |
1790747699 |
Last Name Of The Provider |
ALBINGER |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5665 PEACHTREE DUNWOODY RD NE |
Street Address 2 Of The Provider |
ST JOSEPHS HOSPITAL OF ATLANTA |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303421764 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
2524 |
Number Of Medicare Beneficiaries |
1536 |
Total Submitted Charge Amount |
937519 |
Total Medicare Allowed Amount |
215398.37 |
Total Medicare Payment Amount |
164381.59 |
Total Medicare Standardized Payment Amount |
165137.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2524 |
Number Of Medicare Beneficiaries With Medical Services |
1536 |
Total Medical Submitted Charge Amount |
937519 |
Total Medical Medicare Allowed Amount |
215398.37 |
Total Medical Medicare Payment Amount |
164381.59 |
Total Medical Medicare Standardized Payment Amount |
165137.43 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
496 |
Number Of Beneficiaries Age Greater 84 |
476 |
Number Of Female Beneficiaries |
900 |
Number Of Male Beneficiaries |
636 |
Number Of Non Hispanic White Beneficiaries |
1270 |
Number Of Black or African American Beneficiaries |
185 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
260 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.899 |