National Provider Identifier [NPI]: |
1609978964 |
Last Name Of The Provider |
CHRISTOPHER |
First Name Of The Provider |
REID |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
108 9TH AVENUE |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
BESSEMER |
Zip Code Of The Provider |
35022 |
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 |
50 |
Number Of Services |
3639 |
Number Of Medicare Beneficiaries |
954 |
Total Submitted Charge Amount |
238575 |
Total Medicare Allowed Amount |
195360.48 |
Total Medicare Payment Amount |
135269.2 |
Total Medicare Standardized Payment Amount |
132508.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
386 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
7343 |
Total Drug Medicare AllowedAmount |
3609.94 |
Total Drug Medicare PaymentAmount |
3470.62 |
Total Drug Medicare Standardized Payment Amount |
3470.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3253 |
Number Of Medicare Beneficiaries With Medical Services |
954 |
Total Medical Submitted Charge Amount |
231232 |
Total Medical Medicare Allowed Amount |
191750.54 |
Total Medical Medicare Payment Amount |
131798.58 |
Total Medical Medicare Standardized Payment Amount |
129037.56 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
238 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
544 |
Number Of Male Beneficiaries |
410 |
Number Of Non Hispanic White Beneficiaries |
673 |
Number Of Black or African American Beneficiaries |
267 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
706 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6121 |