National Provider Identifier [NPI]: |
1467424580 |
Last Name Of The Provider |
SCRIBER |
First Name Of The Provider |
LADD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
303 E MATTHEWS AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
724013150 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
8576 |
Number Of Medicare Beneficiaries |
1156 |
Total Submitted Charge Amount |
868269 |
Total Medicare Allowed Amount |
421313.6 |
Total Medicare Payment Amount |
316220.45 |
Total Medicare Standardized Payment Amount |
341738.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
3192 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
141693 |
Total Drug Medicare AllowedAmount |
91322.76 |
Total Drug Medicare PaymentAmount |
71248.66 |
Total Drug Medicare Standardized Payment Amount |
71248.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
5384 |
Number Of Medicare Beneficiaries With Medical Services |
1156 |
Total Medical Submitted Charge Amount |
726576 |
Total Medical Medicare Allowed Amount |
329990.84 |
Total Medical Medicare Payment Amount |
244971.79 |
Total Medical Medicare Standardized Payment Amount |
270489.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
444 |
Number Of Beneficiaries Age 75 to 84 |
435 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
842 |
Number Of Non Hispanic White Beneficiaries |
1108 |
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 |
991 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1385 |