National Provider Identifier [NPI]: |
1336274810 |
Last Name Of The Provider |
RAINER |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27961 US HIGHWAY 98 STE 10 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DAPHNE |
Zip Code Of The Provider |
365264718 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
11854.5 |
Number Of Medicare Beneficiaries |
636 |
Total Submitted Charge Amount |
1647855 |
Total Medicare Allowed Amount |
521646.23 |
Total Medicare Payment Amount |
393323.41 |
Total Medicare Standardized Payment Amount |
386168.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
7237.5 |
Number Of Medicare Beneficiaries With Drug Services |
423 |
Total Drug Submitted ChargeAmount |
98988 |
Total Drug Medicare AllowedAmount |
40275.62 |
Total Drug Medicare PaymentAmount |
31390.2 |
Total Drug Medicare Standardized Payment Amount |
31390.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4617 |
Number Of Medicare Beneficiaries With Medical Services |
635 |
Total Medical Submitted Charge Amount |
1548867 |
Total Medical Medicare Allowed Amount |
481370.61 |
Total Medical Medicare Payment Amount |
361933.21 |
Total Medical Medicare Standardized Payment Amount |
354777.87 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
387 |
Number Of Male Beneficiaries |
249 |
Number Of Non Hispanic White Beneficiaries |
576 |
Number Of Black or African American Beneficiaries |
|
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 |
571 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1221 |