National Provider Identifier [NPI]: |
1730175068 |
Last Name Of The Provider |
MITCHELL |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3401 MEDICAL PARK DR |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366933318 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
6265 |
Number Of Medicare Beneficiaries |
636 |
Total Submitted Charge Amount |
325952 |
Total Medicare Allowed Amount |
211100.52 |
Total Medicare Payment Amount |
155991.04 |
Total Medicare Standardized Payment Amount |
169272.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1390 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
24373 |
Total Drug Medicare AllowedAmount |
17469.82 |
Total Drug Medicare PaymentAmount |
14479.4 |
Total Drug Medicare Standardized Payment Amount |
14479.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
4875 |
Number Of Medicare Beneficiaries With Medical Services |
636 |
Total Medical Submitted Charge Amount |
301579 |
Total Medical Medicare Allowed Amount |
193630.7 |
Total Medical Medicare Payment Amount |
141511.64 |
Total Medical Medicare Standardized Payment Amount |
154792.84 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
328 |
Number Of Black or African American Beneficiaries |
291 |
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 |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3854 |