National Provider Identifier [NPI]: |
1720035033 |
Last Name Of The Provider |
SEELY-MORGAN |
First Name Of The Provider |
MELISSA |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2701 N DECATUR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
300335918 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
233 |
Number Of Services |
3620 |
Number Of Medicare Beneficiaries |
2206 |
Total Submitted Charge Amount |
666646 |
Total Medicare Allowed Amount |
177407.23 |
Total Medicare Payment Amount |
136727.69 |
Total Medicare Standardized Payment Amount |
138674.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
233 |
Number Of Medical Services |
3620 |
Number Of Medicare Beneficiaries With Medical Services |
2206 |
Total Medical Submitted Charge Amount |
666646 |
Total Medical Medicare Allowed Amount |
177407.23 |
Total Medical Medicare Payment Amount |
136727.69 |
Total Medical Medicare Standardized Payment Amount |
138674.85 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
560 |
Number Of Beneficiaries Age 65 to 74 |
773 |
Number Of Beneficiaries Age 75 to 84 |
588 |
Number Of Beneficiaries Age Greater 84 |
285 |
Number Of Female Beneficiaries |
1339 |
Number Of Male Beneficiaries |
867 |
Number Of Non Hispanic White Beneficiaries |
769 |
Number Of Black or African American Beneficiaries |
1343 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
817 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.324 |