National Provider Identifier [NPI]: |
1871597385 |
Last Name Of The Provider |
RATLIFF |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
102 THIRD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELMONT |
Zip Code Of The Provider |
388270190 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3903 |
Number Of Medicare Beneficiaries |
416 |
Total Submitted Charge Amount |
202661.46 |
Total Medicare Allowed Amount |
190662.23 |
Total Medicare Payment Amount |
130225.4 |
Total Medicare Standardized Payment Amount |
202452.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
752 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
12068.29 |
Total Drug Medicare AllowedAmount |
4189.08 |
Total Drug Medicare PaymentAmount |
3828.31 |
Total Drug Medicare Standardized Payment Amount |
3828.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
3151 |
Number Of Medicare Beneficiaries With Medical Services |
416 |
Total Medical Submitted Charge Amount |
190593.17 |
Total Medical Medicare Allowed Amount |
186473.15 |
Total Medical Medicare Payment Amount |
126397.09 |
Total Medical Medicare Standardized Payment Amount |
198624.42 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
404 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
282 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
134 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0132 |