National Provider Identifier [NPI]: |
1649200148 |
Last Name Of The Provider |
NEUMANN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1443 ANTHONY ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
30904 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
1845 |
Number Of Medicare Beneficiaries |
550 |
Total Submitted Charge Amount |
153969.28 |
Total Medicare Allowed Amount |
136183.78 |
Total Medicare Payment Amount |
106928.08 |
Total Medicare Standardized Payment Amount |
119128.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
2569 |
Total Drug Medicare AllowedAmount |
2341.1 |
Total Drug Medicare PaymentAmount |
2294.24 |
Total Drug Medicare Standardized Payment Amount |
2294.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
1774 |
Number Of Medicare Beneficiaries With Medical Services |
550 |
Total Medical Submitted Charge Amount |
151400.28 |
Total Medical Medicare Allowed Amount |
133842.68 |
Total Medical Medicare Payment Amount |
104633.84 |
Total Medical Medicare Standardized Payment Amount |
116834.04 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
344 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
499 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0206 |