National Provider Identifier [NPI]: |
1447312822 |
Last Name Of The Provider |
MCCOY |
First Name Of The Provider |
LOREN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD FACP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 EAST AVALON |
Street Address 2 Of The Provider |
STE C |
City Of The Provider |
MUSCLE SHOALS |
Zip Code Of The Provider |
35661 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
160 |
Number Of Services |
22689 |
Number Of Medicare Beneficiaries |
1663 |
Total Submitted Charge Amount |
1226606 |
Total Medicare Allowed Amount |
772642.65 |
Total Medicare Payment Amount |
579639.48 |
Total Medicare Standardized Payment Amount |
593659.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
7607 |
Number Of Medicare Beneficiaries With Drug Services |
476 |
Total Drug Submitted ChargeAmount |
99669 |
Total Drug Medicare AllowedAmount |
39457.18 |
Total Drug Medicare PaymentAmount |
31239.96 |
Total Drug Medicare Standardized Payment Amount |
31239.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
141 |
Number Of Medical Services |
15082 |
Number Of Medicare Beneficiaries With Medical Services |
1663 |
Total Medical Submitted Charge Amount |
1126937 |
Total Medical Medicare Allowed Amount |
733185.47 |
Total Medical Medicare Payment Amount |
548399.52 |
Total Medical Medicare Standardized Payment Amount |
562419.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
261 |
Number Of Beneficiaries Age 65 to 74 |
646 |
Number Of Beneficiaries Age 75 to 84 |
526 |
Number Of Beneficiaries Age Greater 84 |
230 |
Number Of Female Beneficiaries |
949 |
Number Of Male Beneficiaries |
714 |
Number Of Non Hispanic White Beneficiaries |
1448 |
Number Of Black or African American Beneficiaries |
204 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
1272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
391 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4058 |