National Provider Identifier [NPI]: |
1437126497 |
Last Name Of The Provider |
ROGERS |
First Name Of The Provider |
GAYLON |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2018 BROOKWOOD MEDICAL CTR DR |
Street Address 2 Of The Provider |
PROFESSIONAL OFFICE BUILDING SUITE 315 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352096898 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
1380 |
Number Of Medicare Beneficiaries |
286 |
Total Submitted Charge Amount |
385847.93 |
Total Medicare Allowed Amount |
134196.37 |
Total Medicare Payment Amount |
100219.78 |
Total Medicare Standardized Payment Amount |
111198.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
319 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
10514 |
Total Drug Medicare AllowedAmount |
4575.81 |
Total Drug Medicare PaymentAmount |
3375.71 |
Total Drug Medicare Standardized Payment Amount |
3375.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
1061 |
Number Of Medicare Beneficiaries With Medical Services |
286 |
Total Medical Submitted Charge Amount |
375333.93 |
Total Medical Medicare Allowed Amount |
129620.56 |
Total Medical Medicare Payment Amount |
96844.07 |
Total Medical Medicare Standardized Payment Amount |
107823.13 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
183 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
204 |
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 |
219 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1622 |