National Provider Identifier [NPI]: |
1508974882 |
Last Name Of The Provider |
HERRERA |
First Name Of The Provider |
CHERRIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1320 WOODFIN LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLANTON |
Zip Code Of The Provider |
350458732 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
5929 |
Number Of Medicare Beneficiaries |
329 |
Total Submitted Charge Amount |
386994.7 |
Total Medicare Allowed Amount |
249401.25 |
Total Medicare Payment Amount |
181334.51 |
Total Medicare Standardized Payment Amount |
197375.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2014 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
42624 |
Total Drug Medicare AllowedAmount |
4208.37 |
Total Drug Medicare PaymentAmount |
3823.11 |
Total Drug Medicare Standardized Payment Amount |
3823.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
3915 |
Number Of Medicare Beneficiaries With Medical Services |
329 |
Total Medical Submitted Charge Amount |
344370.7 |
Total Medical Medicare Allowed Amount |
245192.88 |
Total Medical Medicare Payment Amount |
177511.4 |
Total Medical Medicare Standardized Payment Amount |
193552.4 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
252 |
Number Of Male Beneficiaries |
77 |
Number Of Non Hispanic White Beneficiaries |
301 |
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 |
263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3271 |