National Provider Identifier [NPI]: |
1851480107 |
Last Name Of The Provider |
HARSCH |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
105 CARNEGIE PL |
Street Address 2 Of The Provider |
STE 103 |
City Of The Provider |
FAYETTEVILLE |
Zip Code Of The Provider |
302143980 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
7711 |
Number Of Medicare Beneficiaries |
1209 |
Total Submitted Charge Amount |
846421.25 |
Total Medicare Allowed Amount |
354050.78 |
Total Medicare Payment Amount |
253693.52 |
Total Medicare Standardized Payment Amount |
255001.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1518 |
Number Of Medicare Beneficiaries With Drug Services |
462 |
Total Drug Submitted ChargeAmount |
49428.25 |
Total Drug Medicare AllowedAmount |
18187.94 |
Total Drug Medicare PaymentAmount |
16984.89 |
Total Drug Medicare Standardized Payment Amount |
16984.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
6193 |
Number Of Medicare Beneficiaries With Medical Services |
1209 |
Total Medical Submitted Charge Amount |
796993 |
Total Medical Medicare Allowed Amount |
335862.84 |
Total Medical Medicare Payment Amount |
236708.63 |
Total Medical Medicare Standardized Payment Amount |
238016.15 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
515 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
685 |
Number Of Male Beneficiaries |
524 |
Number Of Non Hispanic White Beneficiaries |
996 |
Number Of Black or African American Beneficiaries |
171 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1121 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1086 |