Medicare Facts for Dr. William H. Hughes, MD


National Provider Identifier [NPI]: 1053366641
Last Name Of The Provider HUGHES
First Name Of The Provider WILLIAM
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1210 14TH AVE SE
Street Address 2 Of The Provider SUITE G200
City Of The Provider DECATUR
Zip Code Of The Provider 356014313
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 99
Number Of Services 12971
Number Of Medicare Beneficiaries 1668
Total Submitted Charge Amount 1812319.7
Total Medicare Allowed Amount 716364.42
Total Medicare Payment Amount 534253.3
Total Medicare Standardized Payment Amount 575930.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 2384
Number Of Medicare Beneficiaries With Drug Services 157
Total Drug Submitted ChargeAmount 302399.2
Total Drug Medicare AllowedAmount 127685.05
Total Drug Medicare PaymentAmount 99524.39
Total Drug Medicare Standardized Payment Amount 99524.39
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 87
Number Of Medical Services 10587
Number Of Medicare Beneficiaries With Medical Services 1668
Total Medical Submitted Charge Amount 1509920.5
Total Medical Medicare Allowed Amount 588679.37
Total Medical Medicare Payment Amount 434728.91
Total Medical Medicare Standardized Payment Amount 476406.06
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 163
Number Of Beneficiaries Age 65 to 74 676
Number Of Beneficiaries Age 75 to 84 609
Number Of Beneficiaries Age Greater 84 220
Number Of Female Beneficiaries 352
Number Of Male Beneficiaries 1316
Number Of Non Hispanic White Beneficiaries 1505
Number Of Black or African American Beneficiaries 149
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 1473
Number Of Beneficiaries With Medicare Medicaid Entitlement 195
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 5
Percent Of With Cancer 25
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 14
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 3
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.21

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