National Provider Identifier [NPI]: |
1598714750 |
Last Name Of The Provider |
BEARDEN |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
208 MCFARLAND CIR N |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354061800 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
226 |
Number Of Services |
20959 |
Number Of Medicare Beneficiaries |
4811 |
Total Submitted Charge Amount |
1165801.81 |
Total Medicare Allowed Amount |
451721.28 |
Total Medicare Payment Amount |
343585.45 |
Total Medicare Standardized Payment Amount |
375381.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
12864 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
4719.36 |
Total Drug Medicare AllowedAmount |
3825.36 |
Total Drug Medicare PaymentAmount |
2976.3 |
Total Drug Medicare Standardized Payment Amount |
2976.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
221 |
Number Of Medical Services |
8095 |
Number Of Medicare Beneficiaries With Medical Services |
4811 |
Total Medical Submitted Charge Amount |
1161082.45 |
Total Medical Medicare Allowed Amount |
447895.92 |
Total Medical Medicare Payment Amount |
340609.15 |
Total Medical Medicare Standardized Payment Amount |
372405.09 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1302 |
Number Of Beneficiaries Age 65 to 74 |
1692 |
Number Of Beneficiaries Age 75 to 84 |
1268 |
Number Of Beneficiaries Age Greater 84 |
549 |
Number Of Female Beneficiaries |
3045 |
Number Of Male Beneficiaries |
1766 |
Number Of Non Hispanic White Beneficiaries |
3336 |
Number Of Black or African American Beneficiaries |
1430 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
3417 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1394 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6507 |