National Provider Identifier [NPI]: |
1043329808 |
Last Name Of The Provider |
WILHITE |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 RICE MINE RD N |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354062300 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
17285 |
Number Of Medicare Beneficiaries |
2173 |
Total Submitted Charge Amount |
1258812.99 |
Total Medicare Allowed Amount |
934136.68 |
Total Medicare Payment Amount |
698278.5 |
Total Medicare Standardized Payment Amount |
767203.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3865 |
Number Of Medicare Beneficiaries With Drug Services |
603 |
Total Drug Submitted ChargeAmount |
78642 |
Total Drug Medicare AllowedAmount |
28226.59 |
Total Drug Medicare PaymentAmount |
23443.45 |
Total Drug Medicare Standardized Payment Amount |
23443.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
13420 |
Number Of Medicare Beneficiaries With Medical Services |
2173 |
Total Medical Submitted Charge Amount |
1180170.99 |
Total Medical Medicare Allowed Amount |
905910.09 |
Total Medical Medicare Payment Amount |
674835.05 |
Total Medical Medicare Standardized Payment Amount |
743759.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
310 |
Number Of Beneficiaries Age 65 to 74 |
808 |
Number Of Beneficiaries Age 75 to 84 |
709 |
Number Of Beneficiaries Age Greater 84 |
346 |
Number Of Female Beneficiaries |
1258 |
Number Of Male Beneficiaries |
915 |
Number Of Non Hispanic White Beneficiaries |
1730 |
Number Of Black or African American Beneficiaries |
422 |
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 |
1727 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
446 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.6191 |