National Provider Identifier [NPI]: |
1811983398 |
Last Name Of The Provider |
DIAMOND |
First Name Of The Provider |
COREY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 CARSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
724013104 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
13308 |
Number Of Medicare Beneficiaries |
1917 |
Total Submitted Charge Amount |
998766 |
Total Medicare Allowed Amount |
471567.19 |
Total Medicare Payment Amount |
354192.5 |
Total Medicare Standardized Payment Amount |
383060.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
406 |
Number Of Medicare Beneficiaries With Drug Services |
285 |
Total Drug Submitted ChargeAmount |
12433 |
Total Drug Medicare AllowedAmount |
8281.91 |
Total Drug Medicare PaymentAmount |
7897.06 |
Total Drug Medicare Standardized Payment Amount |
7897.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
12902 |
Number Of Medicare Beneficiaries With Medical Services |
1914 |
Total Medical Submitted Charge Amount |
986333 |
Total Medical Medicare Allowed Amount |
463285.28 |
Total Medical Medicare Payment Amount |
346295.44 |
Total Medical Medicare Standardized Payment Amount |
375163.79 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
396 |
Number Of Beneficiaries Age 65 to 74 |
673 |
Number Of Beneficiaries Age 75 to 84 |
521 |
Number Of Beneficiaries Age Greater 84 |
327 |
Number Of Female Beneficiaries |
1103 |
Number Of Male Beneficiaries |
814 |
Number Of Non Hispanic White Beneficiaries |
1780 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
718 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6812 |