National Provider Identifier [NPI]: |
1205837374 |
Last Name Of The Provider |
HUGHES |
First Name Of The Provider |
TERRANCE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 LANGFORD MEDICAL DR. |
Street Address 2 Of The Provider |
BLDG 200 |
City Of The Provider |
BOGART |
Zip Code Of The Provider |
30622 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
53693 |
Number Of Medicare Beneficiaries |
1471 |
Total Submitted Charge Amount |
5010530.5 |
Total Medicare Allowed Amount |
2182769.17 |
Total Medicare Payment Amount |
1887673.32 |
Total Medicare Standardized Payment Amount |
1881322.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1323 |
Number Of Medicare Beneficiaries With Drug Services |
316 |
Total Drug Submitted ChargeAmount |
37455 |
Total Drug Medicare AllowedAmount |
7604.51 |
Total Drug Medicare PaymentAmount |
5936.38 |
Total Drug Medicare Standardized Payment Amount |
5936.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
52370 |
Number Of Medicare Beneficiaries With Medical Services |
1471 |
Total Medical Submitted Charge Amount |
4973075.5 |
Total Medical Medicare Allowed Amount |
2175164.66 |
Total Medical Medicare Payment Amount |
1881736.94 |
Total Medical Medicare Standardized Payment Amount |
1875386.05 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
939 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
839 |
Number Of Male Beneficiaries |
632 |
Number Of Non Hispanic White Beneficiaries |
1169 |
Number Of Black or African American Beneficiaries |
277 |
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 |
718 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
753 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4131 |