National Provider Identifier [NPI]: |
1518925197 |
Last Name Of The Provider |
DOZIER |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4300 WEST MAIN ST |
Street Address 2 Of The Provider |
WOMENS HEALTHCARE OF DOTHAN PC STE 31 |
City Of The Provider |
DOTHAN |
Zip Code Of The Provider |
363054300 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
942 |
Number Of Medicare Beneficiaries |
202 |
Total Submitted Charge Amount |
113289 |
Total Medicare Allowed Amount |
48153.43 |
Total Medicare Payment Amount |
37584.87 |
Total Medicare Standardized Payment Amount |
41140.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
374 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
6448 |
Total Drug Medicare AllowedAmount |
5310.38 |
Total Drug Medicare PaymentAmount |
4074.55 |
Total Drug Medicare Standardized Payment Amount |
4074.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
568 |
Number Of Medicare Beneficiaries With Medical Services |
202 |
Total Medical Submitted Charge Amount |
106841 |
Total Medical Medicare Allowed Amount |
42843.05 |
Total Medical Medicare Payment Amount |
33510.32 |
Total Medical Medicare Standardized Payment Amount |
37066.3 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
202 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
176 |
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 |
163 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.748 |