National Provider Identifier [NPI]: |
1770564411 |
Last Name Of The Provider |
ARMSTRONG |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1203 24TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MERIDIAN |
Zip Code Of The Provider |
393013926 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
275 |
Number Of Services |
10801 |
Number Of Medicare Beneficiaries |
5435 |
Total Submitted Charge Amount |
1629452 |
Total Medicare Allowed Amount |
296147.27 |
Total Medicare Payment Amount |
221399.22 |
Total Medicare Standardized Payment Amount |
236311.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
341 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
1705 |
Total Drug Medicare AllowedAmount |
673.06 |
Total Drug Medicare PaymentAmount |
527.69 |
Total Drug Medicare Standardized Payment Amount |
527.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
274 |
Number Of Medical Services |
10460 |
Number Of Medicare Beneficiaries With Medical Services |
5435 |
Total Medical Submitted Charge Amount |
1627747 |
Total Medical Medicare Allowed Amount |
295474.21 |
Total Medical Medicare Payment Amount |
220871.53 |
Total Medical Medicare Standardized Payment Amount |
235783.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1276 |
Number Of Beneficiaries Age 65 to 74 |
1867 |
Number Of Beneficiaries Age 75 to 84 |
1521 |
Number Of Beneficiaries Age Greater 84 |
771 |
Number Of Female Beneficiaries |
3231 |
Number Of Male Beneficiaries |
2204 |
Number Of Non Hispanic White Beneficiaries |
3535 |
Number Of Black or African American Beneficiaries |
1784 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
65 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
3223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2212 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6819 |