National Provider Identifier [NPI]: |
1356382022 |
Last Name Of The Provider |
MCKNIGHT |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 NEBRASKA AVE |
Street Address 2 Of The Provider |
SUITE 11 |
City Of The Provider |
FORT PIERCE |
Zip Code Of The Provider |
349504837 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
2440 |
Number Of Medicare Beneficiaries |
819 |
Total Submitted Charge Amount |
338853 |
Total Medicare Allowed Amount |
270326.4 |
Total Medicare Payment Amount |
198105.98 |
Total Medicare Standardized Payment Amount |
188925.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
269 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
3228 |
Total Drug Medicare AllowedAmount |
477.84 |
Total Drug Medicare PaymentAmount |
374.85 |
Total Drug Medicare Standardized Payment Amount |
374.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
2171 |
Number Of Medicare Beneficiaries With Medical Services |
819 |
Total Medical Submitted Charge Amount |
335625 |
Total Medical Medicare Allowed Amount |
269848.56 |
Total Medical Medicare Payment Amount |
197731.13 |
Total Medical Medicare Standardized Payment Amount |
188550.93 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
373 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
584 |
Number Of Male Beneficiaries |
235 |
Number Of Non Hispanic White Beneficiaries |
735 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
742 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3883 |