National Provider Identifier [NPI]: |
1255336749 |
Last Name Of The Provider |
FRENCH |
First Name Of The Provider |
TERRY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2024 15TH ST FL 2 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MERIDIAN |
Zip Code Of The Provider |
393014130 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
144 |
Number Of Services |
9004 |
Number Of Medicare Beneficiaries |
692 |
Total Submitted Charge Amount |
284081.05 |
Total Medicare Allowed Amount |
270745.05 |
Total Medicare Payment Amount |
191844.25 |
Total Medicare Standardized Payment Amount |
213450.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1827 |
Number Of Medicare Beneficiaries With Drug Services |
383 |
Total Drug Submitted ChargeAmount |
6028.84 |
Total Drug Medicare AllowedAmount |
5931.21 |
Total Drug Medicare PaymentAmount |
5152.81 |
Total Drug Medicare Standardized Payment Amount |
5152.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
7177 |
Number Of Medicare Beneficiaries With Medical Services |
691 |
Total Medical Submitted Charge Amount |
278052.21 |
Total Medical Medicare Allowed Amount |
264813.84 |
Total Medical Medicare Payment Amount |
186691.44 |
Total Medical Medicare Standardized Payment Amount |
208297.74 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
329 |
Number Of Non Hispanic White Beneficiaries |
566 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
578 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1158 |