National Provider Identifier [NPI]: |
1417177148 |
Last Name Of The Provider |
BARNES |
First Name Of The Provider |
CALVIN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
503 EISENHOWER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314062668 |
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 |
181 |
Number Of Services |
8485 |
Number Of Medicare Beneficiaries |
1124 |
Total Submitted Charge Amount |
839877 |
Total Medicare Allowed Amount |
175549.54 |
Total Medicare Payment Amount |
130603.98 |
Total Medicare Standardized Payment Amount |
145750.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6821 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
12185 |
Total Drug Medicare AllowedAmount |
2923.34 |
Total Drug Medicare PaymentAmount |
2187.88 |
Total Drug Medicare Standardized Payment Amount |
2187.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
1664 |
Number Of Medicare Beneficiaries With Medical Services |
1124 |
Total Medical Submitted Charge Amount |
827692 |
Total Medical Medicare Allowed Amount |
172626.2 |
Total Medical Medicare Payment Amount |
128416.1 |
Total Medical Medicare Standardized Payment Amount |
143562.15 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
270 |
Number Of Beneficiaries Age 65 to 74 |
477 |
Number Of Beneficiaries Age 75 to 84 |
286 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
700 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
866 |
Number Of Black or African American Beneficiaries |
233 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
331 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2419 |