National Provider Identifier [NPI]: |
1043238470 |
Last Name Of The Provider |
STRICKLAND |
First Name Of The Provider |
AVERY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 STARLING ST |
Street Address 2 Of The Provider |
SUITE #404 |
City Of The Provider |
BRUNSWICK |
Zip Code Of The Provider |
315204219 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
6188 |
Number Of Medicare Beneficiaries |
1164 |
Total Submitted Charge Amount |
620417 |
Total Medicare Allowed Amount |
321647.61 |
Total Medicare Payment Amount |
236349.91 |
Total Medicare Standardized Payment Amount |
250108.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
233 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
15717 |
Total Drug Medicare AllowedAmount |
14072.51 |
Total Drug Medicare PaymentAmount |
13775.84 |
Total Drug Medicare Standardized Payment Amount |
13775.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
5955 |
Number Of Medicare Beneficiaries With Medical Services |
1164 |
Total Medical Submitted Charge Amount |
604700 |
Total Medical Medicare Allowed Amount |
307575.1 |
Total Medical Medicare Payment Amount |
222574.07 |
Total Medical Medicare Standardized Payment Amount |
236332.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
426 |
Number Of Beneficiaries Age 75 to 84 |
422 |
Number Of Beneficiaries Age Greater 84 |
182 |
Number Of Female Beneficiaries |
581 |
Number Of Male Beneficiaries |
583 |
Number Of Non Hispanic White Beneficiaries |
1005 |
Number Of Black or African American Beneficiaries |
138 |
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 |
965 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4659 |