National Provider Identifier [NPI]: |
1255443461 |
Last Name Of The Provider |
HUGGINS |
First Name Of The Provider |
CHADWICK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4700 WATERS AVENUE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314046220 |
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 |
51 |
Number Of Services |
2825 |
Number Of Medicare Beneficiaries |
827 |
Total Submitted Charge Amount |
658889 |
Total Medicare Allowed Amount |
308765.54 |
Total Medicare Payment Amount |
232880.83 |
Total Medicare Standardized Payment Amount |
247219.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
196 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
10976 |
Total Drug Medicare AllowedAmount |
10375.15 |
Total Drug Medicare PaymentAmount |
7852.19 |
Total Drug Medicare Standardized Payment Amount |
7852.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2629 |
Number Of Medicare Beneficiaries With Medical Services |
827 |
Total Medical Submitted Charge Amount |
647913 |
Total Medical Medicare Allowed Amount |
298390.39 |
Total Medical Medicare Payment Amount |
225028.64 |
Total Medical Medicare Standardized Payment Amount |
239367.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
393 |
Number Of Male Beneficiaries |
434 |
Number Of Non Hispanic White Beneficiaries |
637 |
Number Of Black or African American Beneficiaries |
169 |
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 |
652 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7522 |