National Provider Identifier [NPI]: |
1548226129 |
Last Name Of The Provider |
LANGSHAW |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
PA C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1035 RED BUD RD NE |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
CALHOUN |
Zip Code Of The Provider |
307016008 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
4785 |
Number Of Medicare Beneficiaries |
824 |
Total Submitted Charge Amount |
336748 |
Total Medicare Allowed Amount |
193445.86 |
Total Medicare Payment Amount |
139045.74 |
Total Medicare Standardized Payment Amount |
174467 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
347 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
694 |
Total Drug Medicare AllowedAmount |
620.39 |
Total Drug Medicare PaymentAmount |
438.25 |
Total Drug Medicare Standardized Payment Amount |
438.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
4438 |
Number Of Medicare Beneficiaries With Medical Services |
824 |
Total Medical Submitted Charge Amount |
336054 |
Total Medical Medicare Allowed Amount |
192825.47 |
Total Medical Medicare Payment Amount |
138607.49 |
Total Medical Medicare Standardized Payment Amount |
174028.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
372 |
Number Of Male Beneficiaries |
452 |
Number Of Non Hispanic White Beneficiaries |
796 |
Number Of Black or African American Beneficiaries |
15 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
698 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0544 |