National Provider Identifier [NPI]: |
1285628065 |
Last Name Of The Provider |
HARGROVE |
First Name Of The Provider |
JOE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5315 W 12TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722041858 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
7991 |
Number Of Medicare Beneficiaries |
1436 |
Total Submitted Charge Amount |
1218681.5 |
Total Medicare Allowed Amount |
512995.83 |
Total Medicare Payment Amount |
384157.15 |
Total Medicare Standardized Payment Amount |
390059.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
990 |
Number Of Medicare Beneficiaries With Drug Services |
266 |
Total Drug Submitted ChargeAmount |
76398 |
Total Drug Medicare AllowedAmount |
52307.18 |
Total Drug Medicare PaymentAmount |
39770.2 |
Total Drug Medicare Standardized Payment Amount |
39770.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
7001 |
Number Of Medicare Beneficiaries With Medical Services |
1435 |
Total Medical Submitted Charge Amount |
1142283.5 |
Total Medical Medicare Allowed Amount |
460688.65 |
Total Medical Medicare Payment Amount |
344386.95 |
Total Medical Medicare Standardized Payment Amount |
350289.48 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
326 |
Number Of Beneficiaries Age 65 to 74 |
524 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
866 |
Number Of Male Beneficiaries |
570 |
Number Of Non Hispanic White Beneficiaries |
429 |
Number Of Black or African American Beneficiaries |
996 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
911 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
525 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8186 |