National Provider Identifier [NPI]: |
1356554620 |
Last Name Of The Provider |
ROEBUCK |
First Name Of The Provider |
MORRIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
833 SAINT VINCENTS DR STE 300 |
Street Address 2 Of The Provider |
POB III |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051612 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
7701 |
Number Of Medicare Beneficiaries |
448 |
Total Submitted Charge Amount |
315465 |
Total Medicare Allowed Amount |
238226.01 |
Total Medicare Payment Amount |
185562.13 |
Total Medicare Standardized Payment Amount |
201962.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1031 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
16927 |
Total Drug Medicare AllowedAmount |
14034.35 |
Total Drug Medicare PaymentAmount |
12631.25 |
Total Drug Medicare Standardized Payment Amount |
12631.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
6670 |
Number Of Medicare Beneficiaries With Medical Services |
448 |
Total Medical Submitted Charge Amount |
298538 |
Total Medical Medicare Allowed Amount |
224191.66 |
Total Medical Medicare Payment Amount |
172930.88 |
Total Medical Medicare Standardized Payment Amount |
189330.96 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
205 |
Number Of Non Hispanic White Beneficiaries |
389 |
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 |
432 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9277 |