National Provider Identifier [NPI]: |
1528078490 |
Last Name Of The Provider |
ACKERMAN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1701 CENTERVIEW DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722114308 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
7178 |
Number Of Medicare Beneficiaries |
906 |
Total Submitted Charge Amount |
749774.2 |
Total Medicare Allowed Amount |
404013.58 |
Total Medicare Payment Amount |
291239.6 |
Total Medicare Standardized Payment Amount |
319700.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1375 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
5817.2 |
Total Drug Medicare AllowedAmount |
2050.78 |
Total Drug Medicare PaymentAmount |
1497.14 |
Total Drug Medicare Standardized Payment Amount |
1497.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
5803 |
Number Of Medicare Beneficiaries With Medical Services |
906 |
Total Medical Submitted Charge Amount |
743957 |
Total Medical Medicare Allowed Amount |
401962.8 |
Total Medical Medicare Payment Amount |
289742.46 |
Total Medical Medicare Standardized Payment Amount |
318203.54 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
548 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
575 |
Number Of Male Beneficiaries |
331 |
Number Of Non Hispanic White Beneficiaries |
772 |
Number Of Black or African American Beneficiaries |
117 |
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 |
558 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
348 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
58 |
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 |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2297 |