National Provider Identifier [NPI]: |
1194811471 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
HANS |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4500 WEST RAILROAD STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
GULFPORT |
Zip Code Of The Provider |
39503 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3393 |
Number Of Medicare Beneficiaries |
826 |
Total Submitted Charge Amount |
848656 |
Total Medicare Allowed Amount |
264438.6 |
Total Medicare Payment Amount |
193772.77 |
Total Medicare Standardized Payment Amount |
212931.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
320 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
4869 |
Total Drug Medicare AllowedAmount |
1001.73 |
Total Drug Medicare PaymentAmount |
847.15 |
Total Drug Medicare Standardized Payment Amount |
847.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3073 |
Number Of Medicare Beneficiaries With Medical Services |
826 |
Total Medical Submitted Charge Amount |
843787 |
Total Medical Medicare Allowed Amount |
263436.87 |
Total Medical Medicare Payment Amount |
192925.62 |
Total Medical Medicare Standardized Payment Amount |
212084.38 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
172 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
661 |
Number Of Black or African American Beneficiaries |
151 |
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 |
626 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3061 |