National Provider Identifier [NPI]: |
1285602854 |
Last Name Of The Provider |
MULLINS |
First Name Of The Provider |
MICHAEL |
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 |
225 CANDLER DR |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314056023 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
16251 |
Number Of Medicare Beneficiaries |
1763 |
Total Submitted Charge Amount |
1327905.26 |
Total Medicare Allowed Amount |
932642.94 |
Total Medicare Payment Amount |
700434.97 |
Total Medicare Standardized Payment Amount |
753177.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
4921 |
Number Of Medicare Beneficiaries With Drug Services |
263 |
Total Drug Submitted ChargeAmount |
9739.41 |
Total Drug Medicare AllowedAmount |
3515.04 |
Total Drug Medicare PaymentAmount |
2733.1 |
Total Drug Medicare Standardized Payment Amount |
2733.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
11330 |
Number Of Medicare Beneficiaries With Medical Services |
1763 |
Total Medical Submitted Charge Amount |
1318165.85 |
Total Medical Medicare Allowed Amount |
929127.9 |
Total Medical Medicare Payment Amount |
697701.87 |
Total Medical Medicare Standardized Payment Amount |
750444.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
277 |
Number Of Beneficiaries Age 65 to 74 |
729 |
Number Of Beneficiaries Age 75 to 84 |
545 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
952 |
Number Of Male Beneficiaries |
811 |
Number Of Non Hispanic White Beneficiaries |
1398 |
Number Of Black or African American Beneficiaries |
322 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1368 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
395 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
59 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9893 |