National Provider Identifier [NPI]: |
1508818675 |
Last Name Of The Provider |
WHETSTONE |
First Name Of The Provider |
NOAH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 SPRINGHILL AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366041407 |
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 |
145 |
Number Of Services |
10419 |
Number Of Medicare Beneficiaries |
971 |
Total Submitted Charge Amount |
478787 |
Total Medicare Allowed Amount |
295237 |
Total Medicare Payment Amount |
217494.47 |
Total Medicare Standardized Payment Amount |
234802.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2096 |
Number Of Medicare Beneficiaries With Drug Services |
276 |
Total Drug Submitted ChargeAmount |
33724 |
Total Drug Medicare AllowedAmount |
24596.96 |
Total Drug Medicare PaymentAmount |
19914.21 |
Total Drug Medicare Standardized Payment Amount |
19914.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
134 |
Number Of Medical Services |
8323 |
Number Of Medicare Beneficiaries With Medical Services |
971 |
Total Medical Submitted Charge Amount |
445063 |
Total Medical Medicare Allowed Amount |
270640.04 |
Total Medical Medicare Payment Amount |
197580.26 |
Total Medical Medicare Standardized Payment Amount |
214888.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
398 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
536 |
Number Of Male Beneficiaries |
435 |
Number Of Non Hispanic White Beneficiaries |
708 |
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 |
862 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2393 |