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 |