National Provider Identifier [NPI]: |
1407890072 |
Last Name Of The Provider |
HERRING |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 LAY DAM RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLANTON |
Zip Code Of The Provider |
350452306 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1216 |
Number Of Medicare Beneficiaries |
1037 |
Total Submitted Charge Amount |
1428999 |
Total Medicare Allowed Amount |
179469 |
Total Medicare Payment Amount |
137592.63 |
Total Medicare Standardized Payment Amount |
145960.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1216 |
Number Of Medicare Beneficiaries With Medical Services |
1037 |
Total Medical Submitted Charge Amount |
1428999 |
Total Medical Medicare Allowed Amount |
179469 |
Total Medical Medicare Payment Amount |
137592.63 |
Total Medical Medicare Standardized Payment Amount |
145960.67 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
384 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
590 |
Number Of Male Beneficiaries |
447 |
Number Of Non Hispanic White Beneficiaries |
619 |
Number Of Black or African American Beneficiaries |
405 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
609 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
428 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0634 |