National Provider Identifier [NPI]: |
1619942851 |
Last Name Of The Provider |
FITZPATRICK |
First Name Of The Provider |
NOAH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
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 |
141 |
Number Of Services |
10589 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
420733 |
Total Medicare Allowed Amount |
320306.14 |
Total Medicare Payment Amount |
258713.37 |
Total Medicare Standardized Payment Amount |
267114.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
2668 |
Number Of Medicare Beneficiaries With Drug Services |
254 |
Total Drug Submitted ChargeAmount |
32906.25 |
Total Drug Medicare AllowedAmount |
28643.78 |
Total Drug Medicare PaymentAmount |
26579.69 |
Total Drug Medicare Standardized Payment Amount |
26579.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
7921 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
387826.75 |
Total Medical Medicare Allowed Amount |
291662.36 |
Total Medical Medicare Payment Amount |
232133.68 |
Total Medical Medicare Standardized Payment Amount |
240535.29 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
263 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
428 |
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 |
458 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9993 |