National Provider Identifier [NPI]: |
1831142645 |
Last Name Of The Provider |
ALBRIGHT |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 PHILLIPS RD |
Street Address 2 Of The Provider |
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City Of The Provider |
TALLAHASSEE |
Zip Code Of The Provider |
323085304 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
143 |
Number Of Services |
10559 |
Number Of Medicare Beneficiaries |
4862 |
Total Submitted Charge Amount |
788562.4 |
Total Medicare Allowed Amount |
216666.6 |
Total Medicare Payment Amount |
159286.97 |
Total Medicare Standardized Payment Amount |
160564.96 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
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Number Of Drug Services |
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Number Of Medicare Beneficiaries With Drug Services |
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Total Drug Submitted ChargeAmount |
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Total Drug Medicare AllowedAmount |
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Total Drug Medicare PaymentAmount |
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Total Drug Medicare Standardized Payment Amount |
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Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
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Number Of Medical Services |
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Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
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Total Medical Medicare Payment Amount |
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Total Medical Medicare Standardized Payment Amount |
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Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
1014 |
Number Of Beneficiaries Age 65 to 74 |
1432 |
Number Of Beneficiaries Age 75 to 84 |
1388 |
Number Of Beneficiaries Age Greater 84 |
1028 |
Number Of Female Beneficiaries |
2779 |
Number Of Male Beneficiaries |
2083 |
Number Of Non Hispanic White Beneficiaries |
3653 |
Number Of Black or African American Beneficiaries |
1092 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
3315 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1547 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6917 |