National Provider Identifier [NPI]: |
1154483196 |
Last Name Of The Provider |
FARLEY |
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 |
7191 CAHABA VALLEY RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352426402 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
6351 |
Number Of Medicare Beneficiaries |
1064 |
Total Submitted Charge Amount |
410086 |
Total Medicare Allowed Amount |
341609.22 |
Total Medicare Payment Amount |
249814.51 |
Total Medicare Standardized Payment Amount |
271203.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1118 |
Number Of Medicare Beneficiaries With Drug Services |
511 |
Total Drug Submitted ChargeAmount |
17484 |
Total Drug Medicare AllowedAmount |
8553.19 |
Total Drug Medicare PaymentAmount |
7796.19 |
Total Drug Medicare Standardized Payment Amount |
7796.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
5233 |
Number Of Medicare Beneficiaries With Medical Services |
1063 |
Total Medical Submitted Charge Amount |
392602 |
Total Medical Medicare Allowed Amount |
333056.03 |
Total Medical Medicare Payment Amount |
242018.32 |
Total Medical Medicare Standardized Payment Amount |
263406.94 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
475 |
Number Of Beneficiaries Age 75 to 84 |
334 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
636 |
Number Of Male Beneficiaries |
428 |
Number Of Non Hispanic White Beneficiaries |
988 |
Number Of Black or African American Beneficiaries |
59 |
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 |
973 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0686 |