National Provider Identifier [NPI]: |
1437187473 |
Last Name Of The Provider |
MEGLIN |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5353 REYNOLDS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314056015 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
286 |
Number Of Services |
10917 |
Number Of Medicare Beneficiaries |
5175 |
Total Submitted Charge Amount |
1095341 |
Total Medicare Allowed Amount |
338986.17 |
Total Medicare Payment Amount |
252608.73 |
Total Medicare Standardized Payment Amount |
265024.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
286 |
Number Of Medical Services |
10917 |
Number Of Medicare Beneficiaries With Medical Services |
5175 |
Total Medical Submitted Charge Amount |
1095341 |
Total Medical Medicare Allowed Amount |
338986.17 |
Total Medical Medicare Payment Amount |
252608.73 |
Total Medical Medicare Standardized Payment Amount |
265024.55 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
915 |
Number Of Beneficiaries Age 65 to 74 |
1882 |
Number Of Beneficiaries Age 75 to 84 |
1548 |
Number Of Beneficiaries Age Greater 84 |
830 |
Number Of Female Beneficiaries |
3067 |
Number Of Male Beneficiaries |
2108 |
Number Of Non Hispanic White Beneficiaries |
3732 |
Number Of Black or African American Beneficiaries |
1337 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
3763 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1412 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8421 |