National Provider Identifier [NPI]: |
1881675700 |
Last Name Of The Provider |
BEDGOOD |
First Name Of The Provider |
RAYMOND |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
420 CHARTER BLVD |
Street Address 2 Of The Provider |
STE. 205 |
City Of The Provider |
MACON |
Zip Code Of The Provider |
312104854 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
7020 |
Number Of Medicare Beneficiaries |
1975 |
Total Submitted Charge Amount |
2269213.14 |
Total Medicare Allowed Amount |
530747.55 |
Total Medicare Payment Amount |
406207.63 |
Total Medicare Standardized Payment Amount |
375907.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
4560 |
Total Drug Medicare AllowedAmount |
3403.47 |
Total Drug Medicare PaymentAmount |
3335.64 |
Total Drug Medicare Standardized Payment Amount |
3335.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
6963 |
Number Of Medicare Beneficiaries With Medical Services |
1975 |
Total Medical Submitted Charge Amount |
2264653.14 |
Total Medical Medicare Allowed Amount |
527344.08 |
Total Medical Medicare Payment Amount |
402871.99 |
Total Medical Medicare Standardized Payment Amount |
372572.32 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
329 |
Number Of Beneficiaries Age 65 to 74 |
984 |
Number Of Beneficiaries Age 75 to 84 |
569 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
1153 |
Number Of Male Beneficiaries |
822 |
Number Of Non Hispanic White Beneficiaries |
1537 |
Number Of Black or African American Beneficiaries |
405 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1656 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
319 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2938 |