National Provider Identifier [NPI]: |
1043430606 |
Last Name Of The Provider |
MILLER |
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 |
1326 EISENHOWER DR |
Street Address 2 Of The Provider |
BUILDING 1 |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314063928 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
6090 |
Number Of Medicare Beneficiaries |
894 |
Total Submitted Charge Amount |
555657 |
Total Medicare Allowed Amount |
237202.74 |
Total Medicare Payment Amount |
182356.92 |
Total Medicare Standardized Payment Amount |
195363.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
720 |
Number Of Medicare Beneficiaries With Drug Services |
318 |
Total Drug Submitted ChargeAmount |
17249 |
Total Drug Medicare AllowedAmount |
8314.49 |
Total Drug Medicare PaymentAmount |
7756.03 |
Total Drug Medicare Standardized Payment Amount |
7756.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
5370 |
Number Of Medicare Beneficiaries With Medical Services |
894 |
Total Medical Submitted Charge Amount |
538408 |
Total Medical Medicare Allowed Amount |
228888.25 |
Total Medical Medicare Payment Amount |
174600.89 |
Total Medical Medicare Standardized Payment Amount |
187607.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
415 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
417 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
310 |
Number Of AsianPacific Islander Beneficiaries |
12 |
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 |
734 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3162 |