National Provider Identifier [NPI]: |
1447288246 |
Last Name Of The Provider |
DAY |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5505 PEACHTREE DUNWOODY RD NE |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303421705 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
7405 |
Number Of Medicare Beneficiaries |
1418 |
Total Submitted Charge Amount |
2127265 |
Total Medicare Allowed Amount |
671439.28 |
Total Medicare Payment Amount |
488442.77 |
Total Medicare Standardized Payment Amount |
492905.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
7405 |
Number Of Medicare Beneficiaries With Medical Services |
1418 |
Total Medical Submitted Charge Amount |
2127265 |
Total Medical Medicare Allowed Amount |
671439.28 |
Total Medical Medicare Payment Amount |
488442.77 |
Total Medical Medicare Standardized Payment Amount |
492905.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
673 |
Number Of Beneficiaries Age 75 to 84 |
447 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
831 |
Number Of Male Beneficiaries |
587 |
Number Of Non Hispanic White Beneficiaries |
981 |
Number Of Black or African American Beneficiaries |
334 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0877 |