National Provider Identifier [NPI]: |
1003932955 |
Last Name Of The Provider |
TOWNSEND |
First Name Of The Provider |
JACOB |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 PILOT MEDICAL DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352353411 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
2941 |
Number Of Medicare Beneficiaries |
858 |
Total Submitted Charge Amount |
996975 |
Total Medicare Allowed Amount |
340989.4 |
Total Medicare Payment Amount |
255280.08 |
Total Medicare Standardized Payment Amount |
283773.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
251 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
19606 |
Total Drug Medicare AllowedAmount |
12945.97 |
Total Drug Medicare PaymentAmount |
9817.38 |
Total Drug Medicare Standardized Payment Amount |
9817.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
2690 |
Number Of Medicare Beneficiaries With Medical Services |
858 |
Total Medical Submitted Charge Amount |
977369 |
Total Medical Medicare Allowed Amount |
328043.43 |
Total Medical Medicare Payment Amount |
245462.7 |
Total Medical Medicare Standardized Payment Amount |
273956.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
334 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
425 |
Number Of Male Beneficiaries |
433 |
Number Of Non Hispanic White Beneficiaries |
772 |
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 |
752 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6701 |