National Provider Identifier [NPI]: |
1497739023 |
Last Name Of The Provider |
HALL |
First Name Of The Provider |
RANDALL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
405 N SECTION ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAIRHOPE |
Zip Code Of The Provider |
365322613 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
3519 |
Number Of Medicare Beneficiaries |
845 |
Total Submitted Charge Amount |
324553 |
Total Medicare Allowed Amount |
284059.94 |
Total Medicare Payment Amount |
201561.56 |
Total Medicare Standardized Payment Amount |
219344.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
373 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
4525 |
Total Drug Medicare AllowedAmount |
3128.78 |
Total Drug Medicare PaymentAmount |
2921.18 |
Total Drug Medicare Standardized Payment Amount |
2921.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3146 |
Number Of Medicare Beneficiaries With Medical Services |
845 |
Total Medical Submitted Charge Amount |
320028 |
Total Medical Medicare Allowed Amount |
280931.16 |
Total Medical Medicare Payment Amount |
198640.38 |
Total Medical Medicare Standardized Payment Amount |
216423.56 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
753 |
Number Of Black or African American Beneficiaries |
75 |
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 |
722 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.6801 |