National Provider Identifier [NPI]: |
1972618312 |
Last Name Of The Provider |
CARTER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
605B MEDICAL CENTER PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOAZ |
Zip Code Of The Provider |
359575937 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
12191 |
Number Of Medicare Beneficiaries |
985 |
Total Submitted Charge Amount |
696713.7 |
Total Medicare Allowed Amount |
370855.85 |
Total Medicare Payment Amount |
276251.76 |
Total Medicare Standardized Payment Amount |
297130.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
7793 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
94780 |
Total Drug Medicare AllowedAmount |
47728.83 |
Total Drug Medicare PaymentAmount |
36725.13 |
Total Drug Medicare Standardized Payment Amount |
36725.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
4398 |
Number Of Medicare Beneficiaries With Medical Services |
985 |
Total Medical Submitted Charge Amount |
601933.7 |
Total Medical Medicare Allowed Amount |
323127.02 |
Total Medical Medicare Payment Amount |
239526.63 |
Total Medical Medicare Standardized Payment Amount |
260405.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
402 |
Number Of Beneficiaries Age 75 to 84 |
326 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
650 |
Number Of Non Hispanic White Beneficiaries |
957 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
775 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
210 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1934 |