National Provider Identifier [NPI]: |
1902801095 |
Last Name Of The Provider |
VARNELL |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
50 MEDICAL PARK DR E |
Street Address 2 Of The Provider |
|
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352353401 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
204 |
Number Of Services |
11743 |
Number Of Medicare Beneficiaries |
4144 |
Total Submitted Charge Amount |
1032490 |
Total Medicare Allowed Amount |
253193.85 |
Total Medicare Payment Amount |
199497.41 |
Total Medicare Standardized Payment Amount |
217965.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4875 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
4278 |
Total Drug Medicare AllowedAmount |
958.02 |
Total Drug Medicare PaymentAmount |
751.13 |
Total Drug Medicare Standardized Payment Amount |
751.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
202 |
Number Of Medical Services |
6868 |
Number Of Medicare Beneficiaries With Medical Services |
4144 |
Total Medical Submitted Charge Amount |
1028212 |
Total Medical Medicare Allowed Amount |
252235.83 |
Total Medical Medicare Payment Amount |
198746.28 |
Total Medical Medicare Standardized Payment Amount |
217214.8 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
799 |
Number Of Beneficiaries Age 65 to 74 |
1476 |
Number Of Beneficiaries Age 75 to 84 |
1230 |
Number Of Beneficiaries Age Greater 84 |
639 |
Number Of Female Beneficiaries |
2529 |
Number Of Male Beneficiaries |
1615 |
Number Of Non Hispanic White Beneficiaries |
3766 |
Number Of Black or African American Beneficiaries |
328 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
962 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5873 |