National Provider Identifier [NPI]: |
1518189182 |
Last Name Of The Provider |
FIENO |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1022 1ST ST N STE 500 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALABASTER |
Zip Code Of The Provider |
350078740 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
12942 |
Number Of Medicare Beneficiaries |
1518 |
Total Submitted Charge Amount |
990751.35 |
Total Medicare Allowed Amount |
648939.21 |
Total Medicare Payment Amount |
488118.3 |
Total Medicare Standardized Payment Amount |
519527.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
7770 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
14817.35 |
Total Drug Medicare AllowedAmount |
9132.03 |
Total Drug Medicare PaymentAmount |
7040.16 |
Total Drug Medicare Standardized Payment Amount |
7040.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
5172 |
Number Of Medicare Beneficiaries With Medical Services |
1518 |
Total Medical Submitted Charge Amount |
975934 |
Total Medical Medicare Allowed Amount |
639807.18 |
Total Medical Medicare Payment Amount |
481078.14 |
Total Medical Medicare Standardized Payment Amount |
512487.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
613 |
Number Of Beneficiaries Age 75 to 84 |
504 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
809 |
Number Of Male Beneficiaries |
709 |
Number Of Non Hispanic White Beneficiaries |
1343 |
Number Of Black or African American Beneficiaries |
150 |
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 |
1324 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5439 |