National Provider Identifier [NPI]: |
1477605129 |
Last Name Of The Provider |
SHEFFIELD |
First Name Of The Provider |
VAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4250 HOSPITAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARIANNA |
Zip Code Of The Provider |
324461917 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
2387 |
Number Of Medicare Beneficiaries |
822 |
Total Submitted Charge Amount |
1187177.79 |
Total Medicare Allowed Amount |
236366.42 |
Total Medicare Payment Amount |
172078.23 |
Total Medicare Standardized Payment Amount |
172446.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
141 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
6657 |
Total Drug Medicare AllowedAmount |
3532.87 |
Total Drug Medicare PaymentAmount |
3444.19 |
Total Drug Medicare Standardized Payment Amount |
3444.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
2246 |
Number Of Medicare Beneficiaries With Medical Services |
822 |
Total Medical Submitted Charge Amount |
1180520.79 |
Total Medical Medicare Allowed Amount |
232833.55 |
Total Medical Medicare Payment Amount |
168634.04 |
Total Medical Medicare Standardized Payment Amount |
169001.9 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
296 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
317 |
Number Of Non Hispanic White Beneficiaries |
551 |
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 |
508 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5119 |