National Provider Identifier [NPI]: |
1285757666 |
Last Name Of The Provider |
PITTS |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1086 A BAXTER STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
30606 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
26563 |
Number Of Medicare Beneficiaries |
1069 |
Total Submitted Charge Amount |
1769139.75 |
Total Medicare Allowed Amount |
596920.95 |
Total Medicare Payment Amount |
443828.09 |
Total Medicare Standardized Payment Amount |
468088.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
23458 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
274420.75 |
Total Drug Medicare AllowedAmount |
144844.34 |
Total Drug Medicare PaymentAmount |
104043.58 |
Total Drug Medicare Standardized Payment Amount |
104043.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
3105 |
Number Of Medicare Beneficiaries With Medical Services |
1069 |
Total Medical Submitted Charge Amount |
1494719 |
Total Medical Medicare Allowed Amount |
452076.61 |
Total Medical Medicare Payment Amount |
339784.51 |
Total Medical Medicare Standardized Payment Amount |
364044.99 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
413 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
609 |
Number Of Male Beneficiaries |
460 |
Number Of Non Hispanic White Beneficiaries |
924 |
Number Of Black or African American Beneficiaries |
123 |
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 |
831 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
238 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
1.4179 |