National Provider Identifier [NPI]: |
1174841894 |
Last Name Of The Provider |
CARTER |
First Name Of The Provider |
ERICA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
270 COPPERFIELD BLVD NE |
Street Address 2 Of The Provider |
STE 202 |
City Of The Provider |
CONCORD |
Zip Code Of The Provider |
280252441 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
1404 |
Number Of Medicare Beneficiaries |
514 |
Total Submitted Charge Amount |
457756 |
Total Medicare Allowed Amount |
148273.89 |
Total Medicare Payment Amount |
114864.25 |
Total Medicare Standardized Payment Amount |
116600.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1404 |
Number Of Medicare Beneficiaries With Medical Services |
514 |
Total Medical Submitted Charge Amount |
457756 |
Total Medical Medicare Allowed Amount |
148273.89 |
Total Medical Medicare Payment Amount |
114864.25 |
Total Medical Medicare Standardized Payment Amount |
116600.3 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
294 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
315 |
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 |
313 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.4004 |