National Provider Identifier [NPI]: |
1275737876 |
Last Name Of The Provider |
PEARSON |
First Name Of The Provider |
JANE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2660 10TH AVE S |
Street Address 2 Of The Provider |
STE. 520 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051605 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
1603 |
Number Of Medicare Beneficiaries |
539 |
Total Submitted Charge Amount |
188682 |
Total Medicare Allowed Amount |
148351.17 |
Total Medicare Payment Amount |
111193.1 |
Total Medicare Standardized Payment Amount |
103820.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1603 |
Number Of Medicare Beneficiaries With Medical Services |
539 |
Total Medical Submitted Charge Amount |
188682 |
Total Medical Medicare Allowed Amount |
148351.17 |
Total Medical Medicare Payment Amount |
111193.1 |
Total Medical Medicare Standardized Payment Amount |
103820.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
212 |
Number Of Non Hispanic White Beneficiaries |
448 |
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 |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
1.6933 |