National Provider Identifier [NPI]: |
1952349813 |
Last Name Of The Provider |
BRADLEY |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
340 EISENHOWER DRIVE |
Street Address 2 Of The Provider |
SUITE 1200 |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
31406 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
18162 |
Number Of Medicare Beneficiaries |
1048 |
Total Submitted Charge Amount |
1798366 |
Total Medicare Allowed Amount |
585954.33 |
Total Medicare Payment Amount |
475008.41 |
Total Medicare Standardized Payment Amount |
500899.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
3840 |
Number Of Medicare Beneficiaries With Drug Services |
362 |
Total Drug Submitted ChargeAmount |
177312 |
Total Drug Medicare AllowedAmount |
70000.31 |
Total Drug Medicare PaymentAmount |
58461.18 |
Total Drug Medicare Standardized Payment Amount |
58461.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
14322 |
Number Of Medicare Beneficiaries With Medical Services |
1047 |
Total Medical Submitted Charge Amount |
1621054 |
Total Medical Medicare Allowed Amount |
515954.02 |
Total Medical Medicare Payment Amount |
416547.23 |
Total Medical Medicare Standardized Payment Amount |
442438.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
574 |
Number Of Male Beneficiaries |
474 |
Number Of Non Hispanic White Beneficiaries |
848 |
Number Of Black or African American Beneficiaries |
172 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
951 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.302 |