National Provider Identifier [NPI]: |
1063402196 |
Last Name Of The Provider |
ACQUAH |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
405 ARROWHEAD BLVD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
302361254 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
966 |
Number Of Medicare Beneficiaries |
198 |
Total Submitted Charge Amount |
205468.1 |
Total Medicare Allowed Amount |
56720.43 |
Total Medicare Payment Amount |
43450.97 |
Total Medicare Standardized Payment Amount |
42771.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
412 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
4730 |
Total Drug Medicare AllowedAmount |
909.49 |
Total Drug Medicare PaymentAmount |
703.39 |
Total Drug Medicare Standardized Payment Amount |
703.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
554 |
Number Of Medicare Beneficiaries With Medical Services |
198 |
Total Medical Submitted Charge Amount |
200738.1 |
Total Medical Medicare Allowed Amount |
55810.94 |
Total Medical Medicare Payment Amount |
42747.58 |
Total Medical Medicare Standardized Payment Amount |
42068.44 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
70 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
124 |
Number Of Male Beneficiaries |
74 |
Number Of Non Hispanic White Beneficiaries |
157 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
148 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.566 |