National Provider Identifier [NPI]: |
1811929193 |
Last Name Of The Provider |
BARRETT |
First Name Of The Provider |
HARRIS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5907 HIGHWAY 90 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOSS POINT |
Zip Code Of The Provider |
395636536 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
5750 |
Number Of Medicare Beneficiaries |
630 |
Total Submitted Charge Amount |
352754 |
Total Medicare Allowed Amount |
186447.54 |
Total Medicare Payment Amount |
132840.86 |
Total Medicare Standardized Payment Amount |
147791.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
224 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
6401 |
Total Drug Medicare AllowedAmount |
4247.77 |
Total Drug Medicare PaymentAmount |
4017.13 |
Total Drug Medicare Standardized Payment Amount |
4017.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
5526 |
Number Of Medicare Beneficiaries With Medical Services |
630 |
Total Medical Submitted Charge Amount |
346353 |
Total Medical Medicare Allowed Amount |
182199.77 |
Total Medical Medicare Payment Amount |
128823.73 |
Total Medical Medicare Standardized Payment Amount |
143774.76 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
349 |
Number Of Male Beneficiaries |
281 |
Number Of Non Hispanic White Beneficiaries |
439 |
Number Of Black or African American Beneficiaries |
176 |
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 |
524 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0911 |