National Provider Identifier [NPI]: |
1831354893 |
Last Name Of The Provider |
ARMSTEAD |
First Name Of The Provider |
COREY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 13TH ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
319062596 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
2322 |
Number Of Medicare Beneficiaries |
373 |
Total Submitted Charge Amount |
320626.58 |
Total Medicare Allowed Amount |
118695.17 |
Total Medicare Payment Amount |
90708.62 |
Total Medicare Standardized Payment Amount |
95151.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1092 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
6325 |
Total Drug Medicare AllowedAmount |
1172.08 |
Total Drug Medicare PaymentAmount |
904.42 |
Total Drug Medicare Standardized Payment Amount |
904.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1230 |
Number Of Medicare Beneficiaries With Medical Services |
373 |
Total Medical Submitted Charge Amount |
314301.58 |
Total Medical Medicare Allowed Amount |
117523.09 |
Total Medical Medicare Payment Amount |
89804.2 |
Total Medical Medicare Standardized Payment Amount |
94246.59 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
105 |
Number Of Non Hispanic White Beneficiaries |
223 |
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 |
278 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3956 |