National Provider Identifier [NPI]: |
1750446746 |
Last Name Of The Provider |
WHATLEY |
First Name Of The Provider |
JAMES |
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 |
1825 MARTHA BERRY BLVD NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROME |
Zip Code Of The Provider |
301651625 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
191 |
Number Of Services |
58872 |
Number Of Medicare Beneficiaries |
1717 |
Total Submitted Charge Amount |
1929635 |
Total Medicare Allowed Amount |
566483.85 |
Total Medicare Payment Amount |
430243.79 |
Total Medicare Standardized Payment Amount |
467861.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
50595 |
Number Of Medicare Beneficiaries With Drug Services |
914 |
Total Drug Submitted ChargeAmount |
76935.5 |
Total Drug Medicare AllowedAmount |
21771.52 |
Total Drug Medicare PaymentAmount |
19177.33 |
Total Drug Medicare Standardized Payment Amount |
19177.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
176 |
Number Of Medical Services |
8277 |
Number Of Medicare Beneficiaries With Medical Services |
1717 |
Total Medical Submitted Charge Amount |
1852699.5 |
Total Medical Medicare Allowed Amount |
544712.33 |
Total Medical Medicare Payment Amount |
411066.46 |
Total Medical Medicare Standardized Payment Amount |
448683.95 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
310 |
Number Of Beneficiaries Age 65 to 74 |
704 |
Number Of Beneficiaries Age 75 to 84 |
532 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
964 |
Number Of Male Beneficiaries |
753 |
Number Of Non Hispanic White Beneficiaries |
1580 |
Number Of Black or African American Beneficiaries |
112 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
334 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2402 |