National Provider Identifier [NPI]: |
1023085669 |
Last Name Of The Provider |
ANDERSON-SHARPE |
First Name Of The Provider |
THOMASINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
108 MC MEANS AVE. STE C |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAY MINETTE |
Zip Code Of The Provider |
36507 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
2316 |
Number Of Medicare Beneficiaries |
389 |
Total Submitted Charge Amount |
89021.9 |
Total Medicare Allowed Amount |
61364.79 |
Total Medicare Payment Amount |
39808.22 |
Total Medicare Standardized Payment Amount |
44788.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1014 |
Number Of Medicare Beneficiaries With Drug Services |
222 |
Total Drug Submitted ChargeAmount |
5028.9 |
Total Drug Medicare AllowedAmount |
1924.79 |
Total Drug Medicare PaymentAmount |
1400.09 |
Total Drug Medicare Standardized Payment Amount |
1400.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
1302 |
Number Of Medicare Beneficiaries With Medical Services |
389 |
Total Medical Submitted Charge Amount |
83993 |
Total Medical Medicare Allowed Amount |
59440 |
Total Medical Medicare Payment Amount |
38408.13 |
Total Medical Medicare Standardized Payment Amount |
43388.2 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
341 |
Number Of Black or African American Beneficiaries |
|
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 |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0149 |