National Provider Identifier [NPI]: |
1629098959 |
Last Name Of The Provider |
MCLEMORE |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
34 TAYLOR RD N |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
36116 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
6174 |
Number Of Medicare Beneficiaries |
990 |
Total Submitted Charge Amount |
237731 |
Total Medicare Allowed Amount |
146216.39 |
Total Medicare Payment Amount |
102938.56 |
Total Medicare Standardized Payment Amount |
117474.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
2892 |
Number Of Medicare Beneficiaries With Drug Services |
413 |
Total Drug Submitted ChargeAmount |
30719 |
Total Drug Medicare AllowedAmount |
3188.82 |
Total Drug Medicare PaymentAmount |
2368.86 |
Total Drug Medicare Standardized Payment Amount |
2368.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
3282 |
Number Of Medicare Beneficiaries With Medical Services |
990 |
Total Medical Submitted Charge Amount |
207012 |
Total Medical Medicare Allowed Amount |
143027.57 |
Total Medical Medicare Payment Amount |
100569.7 |
Total Medical Medicare Standardized Payment Amount |
115105.5 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
434 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
629 |
Number Of Male Beneficiaries |
361 |
Number Of Non Hispanic White Beneficiaries |
739 |
Number Of Black or African American Beneficiaries |
230 |
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 |
941 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8985 |