National Provider Identifier [NPI]: |
1720089964 |
Last Name Of The Provider |
CORWIN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
895 CANTON RD NE |
Street Address 2 Of The Provider |
BUILDING 100 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300608934 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2740 |
Number Of Medicare Beneficiaries |
1070 |
Total Submitted Charge Amount |
1310874.44 |
Total Medicare Allowed Amount |
465788.84 |
Total Medicare Payment Amount |
344013.29 |
Total Medicare Standardized Payment Amount |
345758.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2740 |
Number Of Medicare Beneficiaries With Medical Services |
1070 |
Total Medical Submitted Charge Amount |
1310874.44 |
Total Medical Medicare Allowed Amount |
465788.84 |
Total Medical Medicare Payment Amount |
344013.29 |
Total Medical Medicare Standardized Payment Amount |
345758.47 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
433 |
Number Of Beneficiaries Age 75 to 84 |
448 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
707 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
917 |
Number Of Black or African American Beneficiaries |
122 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
969 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1403 |