National Provider Identifier [NPI]: |
1659343861 |
Last Name Of The Provider |
ANDREWS |
First Name Of The Provider |
ROBERTA |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 HOSPITAL DR |
Street Address 2 Of The Provider |
BLDG C, STE 200 |
City Of The Provider |
MACON |
Zip Code Of The Provider |
312173899 |
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 |
149 |
Number Of Services |
11837 |
Number Of Medicare Beneficiaries |
532 |
Total Submitted Charge Amount |
460378 |
Total Medicare Allowed Amount |
377585.75 |
Total Medicare Payment Amount |
310388.87 |
Total Medicare Standardized Payment Amount |
321608.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
181 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
9465 |
Total Drug Medicare AllowedAmount |
7640.04 |
Total Drug Medicare PaymentAmount |
7454.53 |
Total Drug Medicare Standardized Payment Amount |
7454.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
11656 |
Number Of Medicare Beneficiaries With Medical Services |
532 |
Total Medical Submitted Charge Amount |
450913 |
Total Medical Medicare Allowed Amount |
369945.71 |
Total Medical Medicare Payment Amount |
302934.34 |
Total Medical Medicare Standardized Payment Amount |
314154.26 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
504 |
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 |
514 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9545 |