National Provider Identifier [NPI]: |
1629056502 |
Last Name Of The Provider |
ADKINS |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1513 LAKELAND DR. |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
39216 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
13923 |
Number Of Medicare Beneficiaries |
547 |
Total Submitted Charge Amount |
414281 |
Total Medicare Allowed Amount |
179949.59 |
Total Medicare Payment Amount |
124344.27 |
Total Medicare Standardized Payment Amount |
134796.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
1480 |
Total Drug Medicare AllowedAmount |
857.92 |
Total Drug Medicare PaymentAmount |
772.2 |
Total Drug Medicare Standardized Payment Amount |
772.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
13871 |
Number Of Medicare Beneficiaries With Medical Services |
547 |
Total Medical Submitted Charge Amount |
412801 |
Total Medical Medicare Allowed Amount |
179091.67 |
Total Medical Medicare Payment Amount |
123572.07 |
Total Medical Medicare Standardized Payment Amount |
134024.06 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
381 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
441 |
Number Of Black or African American Beneficiaries |
|
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 |
488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
34 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8762 |