National Provider Identifier [NPI]: |
1356305940 |
Last Name Of The Provider |
MCLEOD |
First Name Of The Provider |
FRED |
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 |
3368 HIGHWAY 280 |
Street Address 2 Of The Provider |
STE G-15 |
City Of The Provider |
ALEXANDER CITY |
Zip Code Of The Provider |
350103393 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
43409 |
Number Of Medicare Beneficiaries |
2239 |
Total Submitted Charge Amount |
2220388.44 |
Total Medicare Allowed Amount |
1205427.04 |
Total Medicare Payment Amount |
880947.6 |
Total Medicare Standardized Payment Amount |
931416.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
763 |
Number Of Medicare Beneficiaries With Drug Services |
470 |
Total Drug Submitted ChargeAmount |
12264 |
Total Drug Medicare AllowedAmount |
3347.33 |
Total Drug Medicare PaymentAmount |
2596.11 |
Total Drug Medicare Standardized Payment Amount |
2596.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
42646 |
Number Of Medicare Beneficiaries With Medical Services |
2239 |
Total Medical Submitted Charge Amount |
2208124.44 |
Total Medical Medicare Allowed Amount |
1202079.71 |
Total Medical Medicare Payment Amount |
878351.49 |
Total Medical Medicare Standardized Payment Amount |
928820.61 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
594 |
Number Of Beneficiaries Age 65 to 74 |
930 |
Number Of Beneficiaries Age 75 to 84 |
534 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
1338 |
Number Of Male Beneficiaries |
901 |
Number Of Non Hispanic White Beneficiaries |
1771 |
Number Of Black or African American Beneficiaries |
442 |
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 |
1685 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
554 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.098 |