National Provider Identifier [NPI]: |
1457358962 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
CHRISTIAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 HOSPITAL LANE |
Street Address 2 Of The Provider |
|
City Of The Provider |
AFTON |
Zip Code Of The Provider |
831100579 |
State Code Of The Provider |
WY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
1621 |
Number Of Medicare Beneficiaries |
399 |
Total Submitted Charge Amount |
154219.5 |
Total Medicare Allowed Amount |
120807.92 |
Total Medicare Payment Amount |
82590.76 |
Total Medicare Standardized Payment Amount |
83871.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
102 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
4221 |
Total Drug Medicare AllowedAmount |
1290.71 |
Total Drug Medicare PaymentAmount |
1167.07 |
Total Drug Medicare Standardized Payment Amount |
1167.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1519 |
Number Of Medicare Beneficiaries With Medical Services |
399 |
Total Medical Submitted Charge Amount |
149998.5 |
Total Medical Medicare Allowed Amount |
119517.21 |
Total Medical Medicare Payment Amount |
81423.69 |
Total Medical Medicare Standardized Payment Amount |
82704.64 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
364 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8513 |