National Provider Identifier [NPI]: |
1316910862 |
Last Name Of The Provider |
HANNA |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11700 MERCY BLVD |
Street Address 2 Of The Provider |
PLAZA D |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314191753 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
5764 |
Number Of Medicare Beneficiaries |
1301 |
Total Submitted Charge Amount |
1564999.58 |
Total Medicare Allowed Amount |
495386.12 |
Total Medicare Payment Amount |
365414.36 |
Total Medicare Standardized Payment Amount |
393703.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
471 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
35625 |
Total Drug Medicare AllowedAmount |
24977.13 |
Total Drug Medicare PaymentAmount |
19245.19 |
Total Drug Medicare Standardized Payment Amount |
19245.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5293 |
Number Of Medicare Beneficiaries With Medical Services |
1301 |
Total Medical Submitted Charge Amount |
1529374.58 |
Total Medical Medicare Allowed Amount |
470408.99 |
Total Medical Medicare Payment Amount |
346169.17 |
Total Medical Medicare Standardized Payment Amount |
374458.66 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
541 |
Number Of Beneficiaries Age 75 to 84 |
445 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
761 |
Number Of Male Beneficiaries |
540 |
Number Of Non Hispanic White Beneficiaries |
1080 |
Number Of Black or African American Beneficiaries |
185 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1061 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
240 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4596 |