National Provider Identifier [NPI]: |
1477524973 |
Last Name Of The Provider |
BRADFORD |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5 ST VINCENT CIR |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
72205 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3893 |
Number Of Medicare Beneficiaries |
677 |
Total Submitted Charge Amount |
1110489 |
Total Medicare Allowed Amount |
389227.69 |
Total Medicare Payment Amount |
287740.21 |
Total Medicare Standardized Payment Amount |
316882.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
588 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
34584 |
Total Drug Medicare AllowedAmount |
34581.42 |
Total Drug Medicare PaymentAmount |
26159.84 |
Total Drug Medicare Standardized Payment Amount |
26159.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
3305 |
Number Of Medicare Beneficiaries With Medical Services |
677 |
Total Medical Submitted Charge Amount |
1075905 |
Total Medical Medicare Allowed Amount |
354646.27 |
Total Medical Medicare Payment Amount |
261580.37 |
Total Medical Medicare Standardized Payment Amount |
290722.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
613 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
584 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2959 |