National Provider Identifier [NPI]: |
1821002833 |
Last Name Of The Provider |
HUTCHESON |
First Name Of The Provider |
ALFRED |
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 |
794 HIGHWAY 51 |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
MADISON |
Zip Code Of The Provider |
391109662 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
6253.5 |
Number Of Medicare Beneficiaries |
912 |
Total Submitted Charge Amount |
577962 |
Total Medicare Allowed Amount |
461655.91 |
Total Medicare Payment Amount |
337442.44 |
Total Medicare Standardized Payment Amount |
380722.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1396 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
59618.78 |
Total Drug Medicare AllowedAmount |
56923.64 |
Total Drug Medicare PaymentAmount |
42662.97 |
Total Drug Medicare Standardized Payment Amount |
42662.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
4857.5 |
Number Of Medicare Beneficiaries With Medical Services |
912 |
Total Medical Submitted Charge Amount |
518343.22 |
Total Medical Medicare Allowed Amount |
404732.27 |
Total Medical Medicare Payment Amount |
294779.47 |
Total Medical Medicare Standardized Payment Amount |
338059.74 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
426 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
508 |
Number Of Male Beneficiaries |
404 |
Number Of Non Hispanic White Beneficiaries |
580 |
Number Of Black or African American Beneficiaries |
313 |
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 |
706 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0594 |