National Provider Identifier [NPI]: |
1861401192 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
ALICE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
833 SAINT VINCENTS DR |
Street Address 2 Of The Provider |
POB# 3 SUITE 402 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051606 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
3048 |
Number Of Medicare Beneficiaries |
443 |
Total Submitted Charge Amount |
163581 |
Total Medicare Allowed Amount |
133077.92 |
Total Medicare Payment Amount |
98839.4 |
Total Medicare Standardized Payment Amount |
106694.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
165 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
1515 |
Total Drug Medicare AllowedAmount |
701.19 |
Total Drug Medicare PaymentAmount |
568.09 |
Total Drug Medicare Standardized Payment Amount |
568.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
2883 |
Number Of Medicare Beneficiaries With Medical Services |
443 |
Total Medical Submitted Charge Amount |
162066 |
Total Medical Medicare Allowed Amount |
132376.73 |
Total Medical Medicare Payment Amount |
98271.31 |
Total Medical Medicare Standardized Payment Amount |
106126.18 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
280 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
382 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1392 |