National Provider Identifier [NPI]: |
1003838236 |
Last Name Of The Provider |
BELL |
First Name Of The Provider |
JERALD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 N 29TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BILLINGS |
Zip Code Of The Provider |
591010905 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
1874 |
Number Of Medicare Beneficiaries |
672 |
Total Submitted Charge Amount |
478244 |
Total Medicare Allowed Amount |
257183.71 |
Total Medicare Payment Amount |
191844.3 |
Total Medicare Standardized Payment Amount |
189321.27 |
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 |
45 |
Number Of Medical Services |
1874 |
Number Of Medicare Beneficiaries With Medical Services |
672 |
Total Medical Submitted Charge Amount |
478244 |
Total Medical Medicare Allowed Amount |
257183.71 |
Total Medical Medicare Payment Amount |
191844.3 |
Total Medical Medicare Standardized Payment Amount |
189321.27 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
422 |
Number Of Male Beneficiaries |
250 |
Number Of Non Hispanic White Beneficiaries |
624 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
611 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9766 |