National Provider Identifier [NPI]: |
1881614584 |
Last Name Of The Provider |
MORTON |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1218 ALICE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WAYCROSS |
Zip Code Of The Provider |
315014525 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
17059 |
Number Of Medicare Beneficiaries |
1253 |
Total Submitted Charge Amount |
1055626.01 |
Total Medicare Allowed Amount |
667268.92 |
Total Medicare Payment Amount |
484533.61 |
Total Medicare Standardized Payment Amount |
508139.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
4276 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
67332.01 |
Total Drug Medicare AllowedAmount |
58297.02 |
Total Drug Medicare PaymentAmount |
45901.23 |
Total Drug Medicare Standardized Payment Amount |
45901.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
12783 |
Number Of Medicare Beneficiaries With Medical Services |
1253 |
Total Medical Submitted Charge Amount |
988294 |
Total Medical Medicare Allowed Amount |
608971.9 |
Total Medical Medicare Payment Amount |
438632.38 |
Total Medical Medicare Standardized Payment Amount |
462238.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
213 |
Number Of Beneficiaries Age 65 to 74 |
400 |
Number Of Beneficiaries Age 75 to 84 |
367 |
Number Of Beneficiaries Age Greater 84 |
273 |
Number Of Female Beneficiaries |
732 |
Number Of Male Beneficiaries |
521 |
Number Of Non Hispanic White Beneficiaries |
1099 |
Number Of Black or African American Beneficiaries |
137 |
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 |
746 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
507 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4907 |