National Provider Identifier [NPI]: |
1235112947 |
Last Name Of The Provider |
TROTTIER |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
320 KENNESTONE HOSPITAL BLVD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300601161 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
3665 |
Number Of Medicare Beneficiaries |
775 |
Total Submitted Charge Amount |
445995.87 |
Total Medicare Allowed Amount |
217010.11 |
Total Medicare Payment Amount |
161545.19 |
Total Medicare Standardized Payment Amount |
161859.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
1110 |
Number Of Medicare Beneficiaries With Drug Services |
298 |
Total Drug Submitted ChargeAmount |
26251.87 |
Total Drug Medicare AllowedAmount |
11152.94 |
Total Drug Medicare PaymentAmount |
10577.82 |
Total Drug Medicare Standardized Payment Amount |
10577.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2555 |
Number Of Medicare Beneficiaries With Medical Services |
775 |
Total Medical Submitted Charge Amount |
419744 |
Total Medical Medicare Allowed Amount |
205857.17 |
Total Medical Medicare Payment Amount |
150967.37 |
Total Medical Medicare Standardized Payment Amount |
151282.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
339 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
405 |
Number Of Male Beneficiaries |
370 |
Number Of Non Hispanic White Beneficiaries |
702 |
Number Of Black or African American Beneficiaries |
51 |
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 |
734 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1094 |