National Provider Identifier [NPI]: |
1942209747 |
Last Name Of The Provider |
HARPER |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1326 EISENHOWER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314063928 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
143 |
Number Of Services |
16714 |
Number Of Medicare Beneficiaries |
1422 |
Total Submitted Charge Amount |
947459 |
Total Medicare Allowed Amount |
260816.58 |
Total Medicare Payment Amount |
202765.77 |
Total Medicare Standardized Payment Amount |
223510.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
14125 |
Number Of Medicare Beneficiaries With Drug Services |
195 |
Total Drug Submitted ChargeAmount |
32455 |
Total Drug Medicare AllowedAmount |
3380.83 |
Total Drug Medicare PaymentAmount |
2553.18 |
Total Drug Medicare Standardized Payment Amount |
2553.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
2589 |
Number Of Medicare Beneficiaries With Medical Services |
1422 |
Total Medical Submitted Charge Amount |
915004 |
Total Medical Medicare Allowed Amount |
257435.75 |
Total Medical Medicare Payment Amount |
200212.59 |
Total Medical Medicare Standardized Payment Amount |
220957.75 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
673 |
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
866 |
Number Of Male Beneficiaries |
556 |
Number Of Non Hispanic White Beneficiaries |
1079 |
Number Of Black or African American Beneficiaries |
289 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1242 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1661 |