National Provider Identifier [NPI]: |
1003863598 |
Last Name Of The Provider |
SCHOLL |
First Name Of The Provider |
RUSSELL |
Middle Initial Of The Provider |
A |
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 |
211 |
Number Of Services |
24635 |
Number Of Medicare Beneficiaries |
4092 |
Total Submitted Charge Amount |
1190953.1 |
Total Medicare Allowed Amount |
427773.28 |
Total Medicare Payment Amount |
320187.91 |
Total Medicare Standardized Payment Amount |
350584.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
17925 |
Number Of Medicare Beneficiaries With Drug Services |
260 |
Total Drug Submitted ChargeAmount |
7007.54 |
Total Drug Medicare AllowedAmount |
5404.44 |
Total Drug Medicare PaymentAmount |
4216.43 |
Total Drug Medicare Standardized Payment Amount |
4216.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
206 |
Number Of Medical Services |
6710 |
Number Of Medicare Beneficiaries With Medical Services |
4092 |
Total Medical Submitted Charge Amount |
1183945.56 |
Total Medical Medicare Allowed Amount |
422368.84 |
Total Medical Medicare Payment Amount |
315971.48 |
Total Medical Medicare Standardized Payment Amount |
346368.2 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
1145 |
Number Of Beneficiaries Age 65 to 74 |
1377 |
Number Of Beneficiaries Age 75 to 84 |
1073 |
Number Of Beneficiaries Age Greater 84 |
497 |
Number Of Female Beneficiaries |
2397 |
Number Of Male Beneficiaries |
1695 |
Number Of Non Hispanic White Beneficiaries |
2788 |
Number Of Black or African American Beneficiaries |
1271 |
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 |
2846 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1246 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7232 |