National Provider Identifier [NPI]: |
1639270374 |
Last Name Of The Provider |
HEERY |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3226 HAMPTON AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
BRUNSWICK |
Zip Code Of The Provider |
315204225 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
10637 |
Number Of Medicare Beneficiaries |
1550 |
Total Submitted Charge Amount |
2048037 |
Total Medicare Allowed Amount |
810954.01 |
Total Medicare Payment Amount |
601508.77 |
Total Medicare Standardized Payment Amount |
654707.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
668 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
63517 |
Total Drug Medicare AllowedAmount |
33662.51 |
Total Drug Medicare PaymentAmount |
26282.36 |
Total Drug Medicare Standardized Payment Amount |
26282.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
9969 |
Number Of Medicare Beneficiaries With Medical Services |
1550 |
Total Medical Submitted Charge Amount |
1984520 |
Total Medical Medicare Allowed Amount |
777291.5 |
Total Medical Medicare Payment Amount |
575226.41 |
Total Medical Medicare Standardized Payment Amount |
628424.9 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
217 |
Number Of Beneficiaries Age 65 to 74 |
657 |
Number Of Beneficiaries Age 75 to 84 |
482 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
838 |
Number Of Male Beneficiaries |
712 |
Number Of Non Hispanic White Beneficiaries |
1262 |
Number Of Black or African American Beneficiaries |
252 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1240 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5658 |