National Provider Identifier [NPI]: |
1801877543 |
Last Name Of The Provider |
MCCASLIN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5 MOBILE INFIRMARY CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366073513 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
231 |
Number Of Services |
3905 |
Number Of Medicare Beneficiaries |
2836 |
Total Submitted Charge Amount |
392169 |
Total Medicare Allowed Amount |
120251.7 |
Total Medicare Payment Amount |
91969.37 |
Total Medicare Standardized Payment Amount |
98454.66 |
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 |
231 |
Number Of Medical Services |
3905 |
Number Of Medicare Beneficiaries With Medical Services |
2836 |
Total Medical Submitted Charge Amount |
392169 |
Total Medical Medicare Allowed Amount |
120251.7 |
Total Medical Medicare Payment Amount |
91969.37 |
Total Medical Medicare Standardized Payment Amount |
98454.66 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
582 |
Number Of Beneficiaries Age 65 to 74 |
1056 |
Number Of Beneficiaries Age 75 to 84 |
818 |
Number Of Beneficiaries Age Greater 84 |
380 |
Number Of Female Beneficiaries |
1637 |
Number Of Male Beneficiaries |
1199 |
Number Of Non Hispanic White Beneficiaries |
1971 |
Number Of Black or African American Beneficiaries |
813 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
2166 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
670 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.807 |