National Provider Identifier [NPI]: |
1689785073 |
Last Name Of The Provider |
MORRISON |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1320 OAKSIDE DR |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
CANTON |
Zip Code Of The Provider |
301142475 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
22697 |
Number Of Medicare Beneficiaries |
507 |
Total Submitted Charge Amount |
1627539.5 |
Total Medicare Allowed Amount |
847560.52 |
Total Medicare Payment Amount |
682928.26 |
Total Medicare Standardized Payment Amount |
641726.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6216 |
Number Of Medicare Beneficiaries With Drug Services |
316 |
Total Drug Submitted ChargeAmount |
14289 |
Total Drug Medicare AllowedAmount |
10889.68 |
Total Drug Medicare PaymentAmount |
7757.7 |
Total Drug Medicare Standardized Payment Amount |
7757.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
16481 |
Number Of Medicare Beneficiaries With Medical Services |
507 |
Total Medical Submitted Charge Amount |
1613250.5 |
Total Medical Medicare Allowed Amount |
836670.84 |
Total Medical Medicare Payment Amount |
675170.56 |
Total Medical Medicare Standardized Payment Amount |
633968.55 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
268 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
474 |
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 |
309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4828 |