National Provider Identifier [NPI]: |
1710049689 |
Last Name Of The Provider |
HEATON |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 E DR HICKS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
356305767 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
15152 |
Number Of Medicare Beneficiaries |
2763 |
Total Submitted Charge Amount |
2718938.23 |
Total Medicare Allowed Amount |
1195575.36 |
Total Medicare Payment Amount |
887799.88 |
Total Medicare Standardized Payment Amount |
977586.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1069 |
Number Of Medicare Beneficiaries With Drug Services |
198 |
Total Drug Submitted ChargeAmount |
4008.75 |
Total Drug Medicare AllowedAmount |
869.72 |
Total Drug Medicare PaymentAmount |
671.15 |
Total Drug Medicare Standardized Payment Amount |
671.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
14083 |
Number Of Medicare Beneficiaries With Medical Services |
2763 |
Total Medical Submitted Charge Amount |
2714929.48 |
Total Medical Medicare Allowed Amount |
1194705.64 |
Total Medical Medicare Payment Amount |
887128.73 |
Total Medical Medicare Standardized Payment Amount |
976915.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
371 |
Number Of Beneficiaries Age 65 to 74 |
1065 |
Number Of Beneficiaries Age 75 to 84 |
976 |
Number Of Beneficiaries Age Greater 84 |
351 |
Number Of Female Beneficiaries |
1375 |
Number Of Male Beneficiaries |
1388 |
Number Of Non Hispanic White Beneficiaries |
2469 |
Number Of Black or African American Beneficiaries |
270 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
2225 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
538 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3157 |