National Provider Identifier [NPI]: |
1407831589 |
Last Name Of The Provider |
PAUL |
First Name Of The Provider |
WILLIAM |
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 |
2145 HIGHLAND AVE S |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352054080 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
86718 |
Number Of Medicare Beneficiaries |
561 |
Total Submitted Charge Amount |
2901551.5 |
Total Medicare Allowed Amount |
2479917.6 |
Total Medicare Payment Amount |
1831829.05 |
Total Medicare Standardized Payment Amount |
1857467.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
79187 |
Number Of Medicare Beneficiaries With Drug Services |
302 |
Total Drug Submitted ChargeAmount |
2474139.5 |
Total Drug Medicare AllowedAmount |
2190084.86 |
Total Drug Medicare PaymentAmount |
1616639.42 |
Total Drug Medicare Standardized Payment Amount |
1616639.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
7531 |
Number Of Medicare Beneficiaries With Medical Services |
561 |
Total Medical Submitted Charge Amount |
427412 |
Total Medical Medicare Allowed Amount |
289832.74 |
Total Medical Medicare Payment Amount |
215189.63 |
Total Medical Medicare Standardized Payment Amount |
240827.62 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
431 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
503 |
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 |
531 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0774 |