National Provider Identifier [NPI]: |
1306867288 |
Last Name Of The Provider |
MILLER-FROST |
First Name Of The Provider |
RUTH |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7216 COPPERFIELD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
361177100 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
9932 |
Number Of Medicare Beneficiaries |
607 |
Total Submitted Charge Amount |
290153 |
Total Medicare Allowed Amount |
229472.06 |
Total Medicare Payment Amount |
173931.34 |
Total Medicare Standardized Payment Amount |
188285.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
319 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
7320 |
Total Drug Medicare AllowedAmount |
4416.01 |
Total Drug Medicare PaymentAmount |
4095.51 |
Total Drug Medicare Standardized Payment Amount |
4095.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
9613 |
Number Of Medicare Beneficiaries With Medical Services |
607 |
Total Medical Submitted Charge Amount |
282833 |
Total Medical Medicare Allowed Amount |
225056.05 |
Total Medical Medicare Payment Amount |
169835.83 |
Total Medical Medicare Standardized Payment Amount |
184189.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
435 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
405 |
Number Of Black or African American Beneficiaries |
190 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
567 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0551 |