National Provider Identifier [NPI]: |
1619295441 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
MARSHALL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D., MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 MONTCLAIR RD |
Street Address 2 Of The Provider |
BUCHANNAN BLDG; SUITE 9B |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352131908 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
1230 |
Number Of Medicare Beneficiaries |
155 |
Total Submitted Charge Amount |
48348.18 |
Total Medicare Allowed Amount |
26561.41 |
Total Medicare Payment Amount |
18848.8 |
Total Medicare Standardized Payment Amount |
19922.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
478 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
6640 |
Total Drug Medicare AllowedAmount |
1524.39 |
Total Drug Medicare PaymentAmount |
1096.31 |
Total Drug Medicare Standardized Payment Amount |
1096.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
752 |
Number Of Medicare Beneficiaries With Medical Services |
155 |
Total Medical Submitted Charge Amount |
41708.18 |
Total Medical Medicare Allowed Amount |
25037.02 |
Total Medical Medicare Payment Amount |
17752.49 |
Total Medical Medicare Standardized Payment Amount |
18826.24 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
29 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
98 |
Number Of Male Beneficiaries |
57 |
Number Of Non Hispanic White Beneficiaries |
111 |
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 |
129 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
12 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9146 |