National Provider Identifier [NPI]: |
1285731513 |
Last Name Of The Provider |
GRIFFITH |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4522 MACCORKLE AVE, SE |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
CHARLESTON |
Zip Code Of The Provider |
25314 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1237 |
Number Of Medicare Beneficiaries |
401 |
Total Submitted Charge Amount |
177313 |
Total Medicare Allowed Amount |
88856.67 |
Total Medicare Payment Amount |
67140.43 |
Total Medicare Standardized Payment Amount |
70481.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
535 |
Total Drug Medicare AllowedAmount |
419.57 |
Total Drug Medicare PaymentAmount |
410.55 |
Total Drug Medicare Standardized Payment Amount |
410.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1214 |
Number Of Medicare Beneficiaries With Medical Services |
401 |
Total Medical Submitted Charge Amount |
176778 |
Total Medical Medicare Allowed Amount |
88437.1 |
Total Medical Medicare Payment Amount |
66729.88 |
Total Medical Medicare Standardized Payment Amount |
70071.37 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
108 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
229 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
364 |
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 |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
57 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
26 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6295 |