National Provider Identifier [NPI]: |
1578585154 |
Last Name Of The Provider |
HILLARD |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
311 N KEENE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652016623 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
220 |
Number Of Services |
22945 |
Number Of Medicare Beneficiaries |
3567 |
Total Submitted Charge Amount |
1873631.64 |
Total Medicare Allowed Amount |
417994.29 |
Total Medicare Payment Amount |
314676.77 |
Total Medicare Standardized Payment Amount |
360051.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
17049 |
Number Of Medicare Beneficiaries With Drug Services |
351 |
Total Drug Submitted ChargeAmount |
35270.8 |
Total Drug Medicare AllowedAmount |
5558.03 |
Total Drug Medicare PaymentAmount |
4339 |
Total Drug Medicare Standardized Payment Amount |
4339 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
211 |
Number Of Medical Services |
5896 |
Number Of Medicare Beneficiaries With Medical Services |
3567 |
Total Medical Submitted Charge Amount |
1838360.84 |
Total Medical Medicare Allowed Amount |
412436.26 |
Total Medical Medicare Payment Amount |
310337.77 |
Total Medical Medicare Standardized Payment Amount |
355712.61 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
752 |
Number Of Beneficiaries Age 65 to 74 |
1296 |
Number Of Beneficiaries Age 75 to 84 |
1009 |
Number Of Beneficiaries Age Greater 84 |
510 |
Number Of Female Beneficiaries |
2203 |
Number Of Male Beneficiaries |
1364 |
Number Of Non Hispanic White Beneficiaries |
3418 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2696 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
871 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2916 |