National Provider Identifier [NPI]: |
1073531307 |
Last Name Of The Provider |
SHERGY |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
720 GALLATIN STREET |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358014414 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
155483 |
Number Of Medicare Beneficiaries |
1495 |
Total Submitted Charge Amount |
5902310.5 |
Total Medicare Allowed Amount |
3991788.65 |
Total Medicare Payment Amount |
3045060.03 |
Total Medicare Standardized Payment Amount |
3087392.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
132083 |
Number Of Medicare Beneficiaries With Drug Services |
613 |
Total Drug Submitted ChargeAmount |
4652928 |
Total Drug Medicare AllowedAmount |
3348136.85 |
Total Drug Medicare PaymentAmount |
2552400.65 |
Total Drug Medicare Standardized Payment Amount |
2552400.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
23400 |
Number Of Medicare Beneficiaries With Medical Services |
1495 |
Total Medical Submitted Charge Amount |
1249382.5 |
Total Medical Medicare Allowed Amount |
643651.8 |
Total Medical Medicare Payment Amount |
492659.38 |
Total Medical Medicare Standardized Payment Amount |
534992.29 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
231 |
Number Of Beneficiaries Age 65 to 74 |
696 |
Number Of Beneficiaries Age 75 to 84 |
463 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
1178 |
Number Of Male Beneficiaries |
317 |
Number Of Non Hispanic White Beneficiaries |
1331 |
Number Of Black or African American Beneficiaries |
142 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1313 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
182 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
51 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1327 |