National Provider Identifier [NPI]: |
1326089913 |
Last Name Of The Provider |
HAMITER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
208 MCFARLAND CIR N |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354061800 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
240 |
Number Of Services |
12278 |
Number Of Medicare Beneficiaries |
4359 |
Total Submitted Charge Amount |
1054442.5 |
Total Medicare Allowed Amount |
420188.37 |
Total Medicare Payment Amount |
334301.78 |
Total Medicare Standardized Payment Amount |
368476.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4600 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
950 |
Total Drug Medicare AllowedAmount |
814.49 |
Total Drug Medicare PaymentAmount |
638.46 |
Total Drug Medicare Standardized Payment Amount |
638.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
239 |
Number Of Medical Services |
7678 |
Number Of Medicare Beneficiaries With Medical Services |
4359 |
Total Medical Submitted Charge Amount |
1053492.5 |
Total Medical Medicare Allowed Amount |
419373.88 |
Total Medical Medicare Payment Amount |
333663.32 |
Total Medical Medicare Standardized Payment Amount |
367838.38 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1038 |
Number Of Beneficiaries Age 65 to 74 |
1597 |
Number Of Beneficiaries Age 75 to 84 |
1222 |
Number Of Beneficiaries Age Greater 84 |
502 |
Number Of Female Beneficiaries |
2964 |
Number Of Male Beneficiaries |
1395 |
Number Of Non Hispanic White Beneficiaries |
2985 |
Number Of Black or African American Beneficiaries |
1336 |
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
3179 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1180 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7213 |