National Provider Identifier [NPI]: |
1013921022 |
Last Name Of The Provider |
COATS |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6701 AIRPORT BLVD |
Street Address 2 Of The Provider |
SUITE A-101 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366086705 |
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 |
102 |
Number Of Services |
7004 |
Number Of Medicare Beneficiaries |
1260 |
Total Submitted Charge Amount |
319698 |
Total Medicare Allowed Amount |
203425.65 |
Total Medicare Payment Amount |
159608.29 |
Total Medicare Standardized Payment Amount |
170733.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
455 |
Number Of Medicare Beneficiaries With Drug Services |
206 |
Total Drug Submitted ChargeAmount |
18854 |
Total Drug Medicare AllowedAmount |
9599.66 |
Total Drug Medicare PaymentAmount |
8590.84 |
Total Drug Medicare Standardized Payment Amount |
8590.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
6549 |
Number Of Medicare Beneficiaries With Medical Services |
1260 |
Total Medical Submitted Charge Amount |
300844 |
Total Medical Medicare Allowed Amount |
193825.99 |
Total Medical Medicare Payment Amount |
151017.45 |
Total Medical Medicare Standardized Payment Amount |
162142.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
492 |
Number Of Beneficiaries Age 75 to 84 |
385 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
645 |
Number Of Male Beneficiaries |
615 |
Number Of Non Hispanic White Beneficiaries |
1098 |
Number Of Black or African American Beneficiaries |
136 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1084 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.4767 |