National Provider Identifier [NPI]: |
1699762419 |
Last Name Of The Provider |
EGBE |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1046 RIDGE AVE SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303151640 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
5945 |
Number Of Medicare Beneficiaries |
1027 |
Total Submitted Charge Amount |
1362180 |
Total Medicare Allowed Amount |
574164.31 |
Total Medicare Payment Amount |
432057.26 |
Total Medicare Standardized Payment Amount |
434030.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
311 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
38805 |
Total Drug Medicare AllowedAmount |
13298.77 |
Total Drug Medicare PaymentAmount |
10441.15 |
Total Drug Medicare Standardized Payment Amount |
10441.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5634 |
Number Of Medicare Beneficiaries With Medical Services |
1027 |
Total Medical Submitted Charge Amount |
1323375 |
Total Medical Medicare Allowed Amount |
560865.54 |
Total Medical Medicare Payment Amount |
421616.11 |
Total Medical Medicare Standardized Payment Amount |
423589.14 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
247 |
Number Of Beneficiaries Age 65 to 74 |
392 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
551 |
Number Of Male Beneficiaries |
476 |
Number Of Non Hispanic White Beneficiaries |
185 |
Number Of Black or African American Beneficiaries |
804 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
594 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
433 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3701 |