National Provider Identifier [NPI]: |
1780678573 |
Last Name Of The Provider |
ABERNATHY |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2122 MANCHESTER EXPY |
Street Address 2 Of The Provider |
ST FRANCIS HOSPITAL |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
319046878 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
3482 |
Number Of Medicare Beneficiaries |
2266 |
Total Submitted Charge Amount |
428173 |
Total Medicare Allowed Amount |
93403.45 |
Total Medicare Payment Amount |
70848.4 |
Total Medicare Standardized Payment Amount |
74029.82 |
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 |
138 |
Number Of Medical Services |
3482 |
Number Of Medicare Beneficiaries With Medical Services |
2266 |
Total Medical Submitted Charge Amount |
428173 |
Total Medical Medicare Allowed Amount |
93403.45 |
Total Medical Medicare Payment Amount |
70848.4 |
Total Medical Medicare Standardized Payment Amount |
74029.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
368 |
Number Of Beneficiaries Age 65 to 74 |
773 |
Number Of Beneficiaries Age 75 to 84 |
726 |
Number Of Beneficiaries Age Greater 84 |
399 |
Number Of Female Beneficiaries |
1364 |
Number Of Male Beneficiaries |
902 |
Number Of Non Hispanic White Beneficiaries |
1600 |
Number Of Black or African American Beneficiaries |
608 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1756 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
510 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8618 |