Medicare Facts for Dr. Donald K. Ashley, MD


National Provider Identifier [NPI]: 1093769036
Last Name Of The Provider ASHLEY
First Name Of The Provider DONALD
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1800 BIRMINGHAM AVE
Street Address 2 Of The Provider
City Of The Provider JASPER
Zip Code Of The Provider 355015461
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 77
Number Of Services 20833
Number Of Medicare Beneficiaries 2023
Total Submitted Charge Amount 591857.93
Total Medicare Allowed Amount 426201.6
Total Medicare Payment Amount 286449.01
Total Medicare Standardized Payment Amount 308965.29
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 20
Number Of Drug Services 9724
Number Of Medicare Beneficiaries With Drug Services 1589
Total Drug Submitted ChargeAmount 114784.08
Total Drug Medicare AllowedAmount 17578.6
Total Drug Medicare PaymentAmount 11923.09
Total Drug Medicare Standardized Payment Amount 11923.09
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 57
Number Of Medical Services 11109
Number Of Medicare Beneficiaries With Medical Services 2020
Total Medical Submitted Charge Amount 477073.85
Total Medical Medicare Allowed Amount 408623
Total Medical Medicare Payment Amount 274525.92
Total Medical Medicare Standardized Payment Amount 297042.2
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 575
Number Of Beneficiaries Age 65 to 74 848
Number Of Beneficiaries Age 75 to 84 483
Number Of Beneficiaries Age Greater 84 117
Number Of Female Beneficiaries 1218
Number Of Male Beneficiaries 805
Number Of Non Hispanic White Beneficiaries 1931
Number Of Black or African American Beneficiaries 74
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 1618
Number Of Beneficiaries With Medicare Medicaid Entitlement 405
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 9
Percent Of With Cancer 8
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 21
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9884

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