National Provider Identifier [NPI]: |
1093719601 |
Last Name Of The Provider |
HUGHES |
First Name Of The Provider |
WAYNE |
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 |
110 MILLSAPS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394021347 |
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 |
70 |
Number Of Services |
8913 |
Number Of Medicare Beneficiaries |
779 |
Total Submitted Charge Amount |
465249 |
Total Medicare Allowed Amount |
230947.23 |
Total Medicare Payment Amount |
165123.54 |
Total Medicare Standardized Payment Amount |
180053.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
145 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
3470 |
Total Drug Medicare AllowedAmount |
2789.51 |
Total Drug Medicare PaymentAmount |
2705.92 |
Total Drug Medicare Standardized Payment Amount |
2705.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
8768 |
Number Of Medicare Beneficiaries With Medical Services |
779 |
Total Medical Submitted Charge Amount |
461779 |
Total Medical Medicare Allowed Amount |
228157.72 |
Total Medical Medicare Payment Amount |
162417.62 |
Total Medical Medicare Standardized Payment Amount |
177347.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
233 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
688 |
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 |
672 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9393 |