National Provider Identifier [NPI]: |
1235114976 |
Last Name Of The Provider |
SPALDING |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 11TH AVE S |
Street Address 2 Of The Provider |
SUITE 510 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352053410 |
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 |
23 |
Number Of Services |
5056 |
Number Of Medicare Beneficiaries |
513 |
Total Submitted Charge Amount |
658181 |
Total Medicare Allowed Amount |
188342.14 |
Total Medicare Payment Amount |
131367.38 |
Total Medicare Standardized Payment Amount |
149790.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2398 |
Number Of Medicare Beneficiaries With Drug Services |
341 |
Total Drug Submitted ChargeAmount |
15535 |
Total Drug Medicare AllowedAmount |
7953.06 |
Total Drug Medicare PaymentAmount |
5894.67 |
Total Drug Medicare Standardized Payment Amount |
5894.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
2658 |
Number Of Medicare Beneficiaries With Medical Services |
513 |
Total Medical Submitted Charge Amount |
642646 |
Total Medical Medicare Allowed Amount |
180389.08 |
Total Medical Medicare Payment Amount |
125472.71 |
Total Medical Medicare Standardized Payment Amount |
143895.93 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
390 |
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 |
436 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3044 |