National Provider Identifier [NPI]: |
1396716999 |
Last Name Of The Provider |
BARBER |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
620 NORTHWESTERN DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
STORM LAKE |
Zip Code Of The Provider |
505882935 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
178 |
Number Of Services |
9513 |
Number Of Medicare Beneficiaries |
854 |
Total Submitted Charge Amount |
571021.5 |
Total Medicare Allowed Amount |
319102.88 |
Total Medicare Payment Amount |
238777.5 |
Total Medicare Standardized Payment Amount |
257765.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
416 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
8353 |
Total Drug Medicare AllowedAmount |
7010.3 |
Total Drug Medicare PaymentAmount |
6774.82 |
Total Drug Medicare Standardized Payment Amount |
6774.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
167 |
Number Of Medical Services |
9097 |
Number Of Medicare Beneficiaries With Medical Services |
854 |
Total Medical Submitted Charge Amount |
562668.5 |
Total Medical Medicare Allowed Amount |
312092.58 |
Total Medical Medicare Payment Amount |
232002.68 |
Total Medical Medicare Standardized Payment Amount |
250990.54 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
251 |
Number Of Beneficiaries Age 75 to 84 |
303 |
Number Of Beneficiaries Age Greater 84 |
236 |
Number Of Female Beneficiaries |
493 |
Number Of Male Beneficiaries |
361 |
Number Of Non Hispanic White Beneficiaries |
804 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
728 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1069 |