National Provider Identifier [NPI]: |
1720039175 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 PEPPERELL PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
OPELIKA |
Zip Code Of The Provider |
368015452 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
13221 |
Number Of Medicare Beneficiaries |
1190 |
Total Submitted Charge Amount |
799421 |
Total Medicare Allowed Amount |
593983.15 |
Total Medicare Payment Amount |
422867.57 |
Total Medicare Standardized Payment Amount |
442328.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
8929 |
Number Of Medicare Beneficiaries With Drug Services |
356 |
Total Drug Submitted ChargeAmount |
308907 |
Total Drug Medicare AllowedAmount |
240537.96 |
Total Drug Medicare PaymentAmount |
182968.01 |
Total Drug Medicare Standardized Payment Amount |
182968.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4292 |
Number Of Medicare Beneficiaries With Medical Services |
1189 |
Total Medical Submitted Charge Amount |
490514 |
Total Medical Medicare Allowed Amount |
353445.19 |
Total Medical Medicare Payment Amount |
239899.56 |
Total Medical Medicare Standardized Payment Amount |
259360.07 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
422 |
Number Of Beneficiaries Age 65 to 74 |
495 |
Number Of Beneficiaries Age 75 to 84 |
221 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
966 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
850 |
Number Of Black or African American Beneficiaries |
324 |
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 |
970 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
220 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2205 |