National Provider Identifier [NPI]: |
1952615973 |
Last Name Of The Provider |
HOUSE |
First Name Of The Provider |
ANTHONY |
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 |
2451 FILLINGIM ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366172238 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4264 |
Number Of Medicare Beneficiaries |
858 |
Total Submitted Charge Amount |
578229 |
Total Medicare Allowed Amount |
196705.47 |
Total Medicare Payment Amount |
139981.06 |
Total Medicare Standardized Payment Amount |
149177.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1664 |
Number Of Medicare Beneficiaries With Drug Services |
322 |
Total Drug Submitted ChargeAmount |
14566 |
Total Drug Medicare AllowedAmount |
4907.87 |
Total Drug Medicare PaymentAmount |
3624.6 |
Total Drug Medicare Standardized Payment Amount |
3624.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2600 |
Number Of Medicare Beneficiaries With Medical Services |
857 |
Total Medical Submitted Charge Amount |
563663 |
Total Medical Medicare Allowed Amount |
191797.6 |
Total Medical Medicare Payment Amount |
136356.46 |
Total Medical Medicare Standardized Payment Amount |
145553.09 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
342 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
605 |
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 |
615 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
243 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0599 |