| National Provider Identifier [NPI]: | 1093725517 |
| Last Name Of The Provider | MACKEY |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 125 ALISON DR |
| Street Address 2 Of The Provider | SUITE 8 |
| City Of The Provider | ALEXANDER CITY |
| Zip Code Of The Provider | 350104469 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 77 |
| Number Of Services | 13965 |
| Number Of Medicare Beneficiaries | 3221 |
| Total Submitted Charge Amount | 1185364 |
| Total Medicare Allowed Amount | 736577.36 |
| Total Medicare Payment Amount | 525919.68 |
| Total Medicare Standardized Payment Amount | 577659.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 488 |
| Number Of Medicare Beneficiaries With Drug Services | 161 |
| Total Drug Submitted ChargeAmount | 13220 |
| Total Drug Medicare AllowedAmount | 6539.76 |
| Total Drug Medicare PaymentAmount | 4990.19 |
| Total Drug Medicare Standardized Payment Amount | 4990.19 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 75 |
| Number Of Medical Services | 13477 |
| Number Of Medicare Beneficiaries With Medical Services | 3221 |
| Total Medical Submitted Charge Amount | 1172144 |
| Total Medical Medicare Allowed Amount | 730037.6 |
| Total Medical Medicare Payment Amount | 520929.49 |
| Total Medical Medicare Standardized Payment Amount | 572669.75 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 470 |
| Number Of Beneficiaries Age 65 to 74 | 1394 |
| Number Of Beneficiaries Age 75 to 84 | 1000 |
| Number Of Beneficiaries Age Greater 84 | 357 |
| Number Of Female Beneficiaries | 1726 |
| Number Of Male Beneficiaries | 1495 |
| Number Of Non Hispanic White Beneficiaries | 2774 |
| Number Of Black or African American Beneficiaries | 410 |
| 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 | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2717 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 504 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.049 |