Medicare Facts for Dr. Michael L. Smitherman, MD


National Provider Identifier [NPI]: 1053303685
Last Name Of The Provider SMITHERMAN
First Name Of The Provider MICHAEL
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1305 HEMBREE RD.
Street Address 2 Of The Provider SUITE 101
City Of The Provider ROSWELL
Zip Code Of The Provider 300763810
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 16606
Number Of Medicare Beneficiaries 368
Total Submitted Charge Amount 535943.62
Total Medicare Allowed Amount 275826.13
Total Medicare Payment Amount 207324.63
Total Medicare Standardized Payment Amount 205272.47
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 15171
Number Of Medicare Beneficiaries With Drug Services 94
Total Drug Submitted ChargeAmount 294783.44
Total Drug Medicare AllowedAmount 141502.27
Total Drug Medicare PaymentAmount 110816.01
Total Drug Medicare Standardized Payment Amount 110816.01
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 13
Number Of Medical Services 1435
Number Of Medicare Beneficiaries With Medical Services 368
Total Medical Submitted Charge Amount 241160.18
Total Medical Medicare Allowed Amount 134323.86
Total Medical Medicare Payment Amount 96508.62
Total Medical Medicare Standardized Payment Amount 94456.46
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 179
Number Of Beneficiaries Age 75 to 84 127
Number Of Beneficiaries Age Greater 84 39
Number Of Female Beneficiaries 246
Number Of Male Beneficiaries 122
Number Of Non Hispanic White Beneficiaries 329
Number Of Black or African American Beneficiaries 14
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 11
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 8
Percent Of With Cancer 11
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 16
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 22
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.189

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