National Provider Identifier [NPI]: |
1386829935 |
Last Name Of The Provider |
PEPPER |
First Name Of The Provider |
KARA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5673 PEACHTREE DUNWOODY RD NE |
Street Address 2 Of The Provider |
SUITE 775 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303421731 |
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 |
92 |
Number Of Services |
3133 |
Number Of Medicare Beneficiaries |
285 |
Total Submitted Charge Amount |
233479.14 |
Total Medicare Allowed Amount |
113931.76 |
Total Medicare Payment Amount |
91983.45 |
Total Medicare Standardized Payment Amount |
91811.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
139 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
5138 |
Total Drug Medicare AllowedAmount |
2851.43 |
Total Drug Medicare PaymentAmount |
2739 |
Total Drug Medicare Standardized Payment Amount |
2739 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
2994 |
Number Of Medicare Beneficiaries With Medical Services |
285 |
Total Medical Submitted Charge Amount |
228341.14 |
Total Medical Medicare Allowed Amount |
111080.33 |
Total Medical Medicare Payment Amount |
89244.45 |
Total Medical Medicare Standardized Payment Amount |
89072.28 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
267 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
|
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.827 |