National Provider Identifier [NPI]: |
1700870177 |
Last Name Of The Provider |
HUGGARD |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
812 W INDIAN BLVD. |
Street Address 2 Of The Provider |
|
City Of The Provider |
EDGEWATER |
Zip Code Of The Provider |
321323429 |
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 |
75 |
Number Of Services |
7363 |
Number Of Medicare Beneficiaries |
574 |
Total Submitted Charge Amount |
513427 |
Total Medicare Allowed Amount |
148819.91 |
Total Medicare Payment Amount |
105498.12 |
Total Medicare Standardized Payment Amount |
124112.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5202 |
Number Of Medicare Beneficiaries With Drug Services |
355 |
Total Drug Submitted ChargeAmount |
79372 |
Total Drug Medicare AllowedAmount |
15280.41 |
Total Drug Medicare PaymentAmount |
11508.05 |
Total Drug Medicare Standardized Payment Amount |
11508.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
2161 |
Number Of Medicare Beneficiaries With Medical Services |
574 |
Total Medical Submitted Charge Amount |
434055 |
Total Medical Medicare Allowed Amount |
133539.5 |
Total Medical Medicare Payment Amount |
93990.07 |
Total Medical Medicare Standardized Payment Amount |
112604.59 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
325 |
Number Of Male Beneficiaries |
249 |
Number Of Non Hispanic White Beneficiaries |
550 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
555 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2244 |