National Provider Identifier [NPI]: |
1437113917 |
Last Name Of The Provider |
CAMP |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 INTERSTATE SOUTH DR. |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
JASPER |
Zip Code Of The Provider |
30143 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
5991 |
Number Of Medicare Beneficiaries |
1084 |
Total Submitted Charge Amount |
1008893.49 |
Total Medicare Allowed Amount |
957268.56 |
Total Medicare Payment Amount |
724800.47 |
Total Medicare Standardized Payment Amount |
747217.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1251 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
587455.7 |
Total Drug Medicare AllowedAmount |
543582.95 |
Total Drug Medicare PaymentAmount |
426051.21 |
Total Drug Medicare Standardized Payment Amount |
426051.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4740 |
Number Of Medicare Beneficiaries With Medical Services |
1084 |
Total Medical Submitted Charge Amount |
421437.79 |
Total Medical Medicare Allowed Amount |
413685.61 |
Total Medical Medicare Payment Amount |
298749.26 |
Total Medical Medicare Standardized Payment Amount |
321165.81 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
594 |
Number Of Beneficiaries Age 75 to 84 |
330 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
576 |
Number Of Male Beneficiaries |
508 |
Number Of Non Hispanic White Beneficiaries |
1047 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1038 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9604 |