National Provider Identifier [NPI]: |
1861470916 |
Last Name Of The Provider |
JOHNSINGH |
First Name Of The Provider |
AMIT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
511 MEDICAL OAKS AVE |
Street Address 2 Of The Provider |
BRANDON NEPHROLOGY |
City Of The Provider |
BRANDON |
Zip Code Of The Provider |
335115961 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
3452 |
Number Of Medicare Beneficiaries |
671 |
Total Submitted Charge Amount |
640801.91 |
Total Medicare Allowed Amount |
434582.78 |
Total Medicare Payment Amount |
334730.23 |
Total Medicare Standardized Payment Amount |
332391.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
3452 |
Number Of Medicare Beneficiaries With Medical Services |
671 |
Total Medical Submitted Charge Amount |
640801.91 |
Total Medical Medicare Allowed Amount |
434582.78 |
Total Medical Medicare Payment Amount |
334730.23 |
Total Medical Medicare Standardized Payment Amount |
332391.66 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
320 |
Number Of Male Beneficiaries |
351 |
Number Of Non Hispanic White Beneficiaries |
446 |
Number Of Black or African American Beneficiaries |
117 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
87 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
434 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
237 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
66 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
4.7262 |