National Provider Identifier [NPI]: |
1326042714 |
Last Name Of The Provider |
ENGLE |
First Name Of The Provider |
DANNY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3334 CAPITAL MEDICAL BLVD |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
TALLAHASSEE |
Zip Code Of The Provider |
323088405 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
2448 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
363268 |
Total Medicare Allowed Amount |
110076.06 |
Total Medicare Payment Amount |
84244.71 |
Total Medicare Standardized Payment Amount |
96376.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1049 |
Number Of Medicare Beneficiaries With Drug Services |
265 |
Total Drug Submitted ChargeAmount |
27280 |
Total Drug Medicare AllowedAmount |
9627.97 |
Total Drug Medicare PaymentAmount |
7503.56 |
Total Drug Medicare Standardized Payment Amount |
7503.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
1399 |
Number Of Medicare Beneficiaries With Medical Services |
480 |
Total Medical Submitted Charge Amount |
335988 |
Total Medical Medicare Allowed Amount |
100448.09 |
Total Medical Medicare Payment Amount |
76741.15 |
Total Medical Medicare Standardized Payment Amount |
88873.34 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
329 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
405 |
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 |
344 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1084 |