National Provider Identifier [NPI]: |
1093787756 |
Last Name Of The Provider |
MACHEN |
First Name Of The Provider |
BYRON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2055 NORMANDIE DR |
Street Address 2 Of The Provider |
108 |
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
361112732 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
233 |
Number Of Services |
8885 |
Number Of Medicare Beneficiaries |
6043 |
Total Submitted Charge Amount |
843492.47 |
Total Medicare Allowed Amount |
245316.65 |
Total Medicare Payment Amount |
180077.84 |
Total Medicare Standardized Payment Amount |
193608.33 |
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 |
233 |
Number Of Medical Services |
8885 |
Number Of Medicare Beneficiaries With Medical Services |
6043 |
Total Medical Submitted Charge Amount |
843492.47 |
Total Medical Medicare Allowed Amount |
245316.65 |
Total Medical Medicare Payment Amount |
180077.84 |
Total Medical Medicare Standardized Payment Amount |
193608.33 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1563 |
Number Of Beneficiaries Age 65 to 74 |
2103 |
Number Of Beneficiaries Age 75 to 84 |
1587 |
Number Of Beneficiaries Age Greater 84 |
790 |
Number Of Female Beneficiaries |
3740 |
Number Of Male Beneficiaries |
2303 |
Number Of Non Hispanic White Beneficiaries |
3802 |
Number Of Black or African American Beneficiaries |
2163 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
4151 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1892 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7027 |