National Provider Identifier [NPI]: |
1003809336 |
Last Name Of The Provider |
CARROLL |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
310 S SETON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EMMITSBURG |
Zip Code Of The Provider |
217279227 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2923 |
Number Of Medicare Beneficiaries |
537 |
Total Submitted Charge Amount |
190177 |
Total Medicare Allowed Amount |
180738.02 |
Total Medicare Payment Amount |
123566.45 |
Total Medicare Standardized Payment Amount |
124531.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
688 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
6873 |
Total Drug Medicare AllowedAmount |
4238.61 |
Total Drug Medicare PaymentAmount |
3773.83 |
Total Drug Medicare Standardized Payment Amount |
3773.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2235 |
Number Of Medicare Beneficiaries With Medical Services |
537 |
Total Medical Submitted Charge Amount |
183304 |
Total Medical Medicare Allowed Amount |
176499.41 |
Total Medical Medicare Payment Amount |
119792.62 |
Total Medical Medicare Standardized Payment Amount |
120757.25 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
315 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
526 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1501 |