Medicare Facts for Dr. David M. Spalding, MD


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

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