National Provider Identifier [NPI]: |
1801816814 |
Last Name Of The Provider |
ANTON |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4700 WATERS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314046220 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
217 |
Number Of Services |
8854 |
Number Of Medicare Beneficiaries |
4277 |
Total Submitted Charge Amount |
1227965.93 |
Total Medicare Allowed Amount |
200886.97 |
Total Medicare Payment Amount |
152732.53 |
Total Medicare Standardized Payment Amount |
160426.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1135 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
933.65 |
Total Drug Medicare AllowedAmount |
276.57 |
Total Drug Medicare PaymentAmount |
199.71 |
Total Drug Medicare Standardized Payment Amount |
199.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
215 |
Number Of Medical Services |
7719 |
Number Of Medicare Beneficiaries With Medical Services |
4277 |
Total Medical Submitted Charge Amount |
1227032.28 |
Total Medical Medicare Allowed Amount |
200610.4 |
Total Medical Medicare Payment Amount |
152532.82 |
Total Medical Medicare Standardized Payment Amount |
160226.68 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
870 |
Number Of Beneficiaries Age 65 to 74 |
1628 |
Number Of Beneficiaries Age 75 to 84 |
1196 |
Number Of Beneficiaries Age Greater 84 |
583 |
Number Of Female Beneficiaries |
2438 |
Number Of Male Beneficiaries |
1839 |
Number Of Non Hispanic White Beneficiaries |
3273 |
Number Of Black or African American Beneficiaries |
901 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
3073 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1204 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7681 |