National Provider Identifier [NPI]: |
1538100417 |
Last Name Of The Provider |
NADEN |
First Name Of The Provider |
DEAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2708 HIGHWAY 78 EAST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JASPER |
Zip Code Of The Provider |
35501 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
18057 |
Number Of Medicare Beneficiaries |
1321 |
Total Submitted Charge Amount |
824291.5 |
Total Medicare Allowed Amount |
356827.21 |
Total Medicare Payment Amount |
262674.42 |
Total Medicare Standardized Payment Amount |
274787.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
9130 |
Number Of Medicare Beneficiaries With Drug Services |
857 |
Total Drug Submitted ChargeAmount |
89385 |
Total Drug Medicare AllowedAmount |
6785 |
Total Drug Medicare PaymentAmount |
5146.93 |
Total Drug Medicare Standardized Payment Amount |
5146.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
8927 |
Number Of Medicare Beneficiaries With Medical Services |
1321 |
Total Medical Submitted Charge Amount |
734906.5 |
Total Medical Medicare Allowed Amount |
350042.21 |
Total Medical Medicare Payment Amount |
257527.49 |
Total Medical Medicare Standardized Payment Amount |
269640.75 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
364 |
Number Of Beneficiaries Age 65 to 74 |
557 |
Number Of Beneficiaries Age 75 to 84 |
318 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
781 |
Number Of Male Beneficiaries |
540 |
Number Of Non Hispanic White Beneficiaries |
1267 |
Number Of Black or African American Beneficiaries |
40 |
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 |
1108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1123 |