National Provider Identifier [NPI]: |
1841293818 |
Last Name Of The Provider |
PIERCE |
First Name Of The Provider |
BRADLEY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1240 JESSE JEWELL PKWY SE |
Street Address 2 Of The Provider |
STE 500 |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305013861 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
10304 |
Number Of Medicare Beneficiaries |
637 |
Total Submitted Charge Amount |
878733 |
Total Medicare Allowed Amount |
307434.9 |
Total Medicare Payment Amount |
241654.18 |
Total Medicare Standardized Payment Amount |
254985.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
924 |
Number Of Medicare Beneficiaries With Drug Services |
324 |
Total Drug Submitted ChargeAmount |
29021 |
Total Drug Medicare AllowedAmount |
13057.11 |
Total Drug Medicare PaymentAmount |
11551.29 |
Total Drug Medicare Standardized Payment Amount |
11551.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
165 |
Number Of Medical Services |
9380 |
Number Of Medicare Beneficiaries With Medical Services |
637 |
Total Medical Submitted Charge Amount |
849712 |
Total Medical Medicare Allowed Amount |
294377.79 |
Total Medical Medicare Payment Amount |
230102.89 |
Total Medical Medicare Standardized Payment Amount |
243434.51 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
355 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
617 |
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 |
587 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9819 |