National Provider Identifier [NPI]: |
1134109499 |
Last Name Of The Provider |
MACHESKI |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 MANCHESTER EXPY |
Street Address 2 Of The Provider |
STE 2001 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
319046877 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
17285 |
Number Of Medicare Beneficiaries |
5413 |
Total Submitted Charge Amount |
2184090.5 |
Total Medicare Allowed Amount |
910708.79 |
Total Medicare Payment Amount |
686976.79 |
Total Medicare Standardized Payment Amount |
708804.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
603 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
77296 |
Total Drug Medicare AllowedAmount |
30801.8 |
Total Drug Medicare PaymentAmount |
23880.04 |
Total Drug Medicare Standardized Payment Amount |
23880.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
16682 |
Number Of Medicare Beneficiaries With Medical Services |
5413 |
Total Medical Submitted Charge Amount |
2106794.5 |
Total Medical Medicare Allowed Amount |
879906.99 |
Total Medical Medicare Payment Amount |
663096.75 |
Total Medical Medicare Standardized Payment Amount |
684924 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
855 |
Number Of Beneficiaries Age 65 to 74 |
1952 |
Number Of Beneficiaries Age 75 to 84 |
1668 |
Number Of Beneficiaries Age Greater 84 |
938 |
Number Of Female Beneficiaries |
3075 |
Number Of Male Beneficiaries |
2338 |
Number Of Non Hispanic White Beneficiaries |
3727 |
Number Of Black or African American Beneficiaries |
1545 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
4226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1187 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7757 |