National Provider Identifier [NPI]: |
1285672329 |
Last Name Of The Provider |
HEMPHILL |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6602 WATERS AVE |
Street Address 2 Of The Provider |
BUILDING C |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314062778 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
43380 |
Number Of Medicare Beneficiaries |
554 |
Total Submitted Charge Amount |
1828897.67 |
Total Medicare Allowed Amount |
673263.05 |
Total Medicare Payment Amount |
505653.02 |
Total Medicare Standardized Payment Amount |
520527.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
41704 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
1239980.86 |
Total Drug Medicare AllowedAmount |
483929.07 |
Total Drug Medicare PaymentAmount |
369762.87 |
Total Drug Medicare Standardized Payment Amount |
369762.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
1676 |
Number Of Medicare Beneficiaries With Medical Services |
554 |
Total Medical Submitted Charge Amount |
588916.81 |
Total Medical Medicare Allowed Amount |
189333.98 |
Total Medical Medicare Payment Amount |
135890.15 |
Total Medical Medicare Standardized Payment Amount |
150765.06 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
133 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
219 |
Number Of Non Hispanic White Beneficiaries |
415 |
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 |
420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
134 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
1.5282 |