National Provider Identifier [NPI]: |
1992796429 |
Last Name Of The Provider |
BARNES |
First Name Of The Provider |
BRADLEY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1350 S HICKORY ST |
Street Address 2 Of The Provider |
HOLMES REGIONAL MEDICAL CENTER/RADIOLOGY |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329013224 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
160 |
Number Of Services |
8357 |
Number Of Medicare Beneficiaries |
4470 |
Total Submitted Charge Amount |
771402.25 |
Total Medicare Allowed Amount |
221640.27 |
Total Medicare Payment Amount |
170068.05 |
Total Medicare Standardized Payment Amount |
169895.17 |
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 |
160 |
Number Of Medical Services |
8357 |
Number Of Medicare Beneficiaries With Medical Services |
4470 |
Total Medical Submitted Charge Amount |
771402.25 |
Total Medical Medicare Allowed Amount |
221640.27 |
Total Medical Medicare Payment Amount |
170068.05 |
Total Medical Medicare Standardized Payment Amount |
169895.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1066 |
Number Of Beneficiaries Age 65 to 74 |
1603 |
Number Of Beneficiaries Age 75 to 84 |
1219 |
Number Of Beneficiaries Age Greater 84 |
582 |
Number Of Female Beneficiaries |
3031 |
Number Of Male Beneficiaries |
1439 |
Number Of Non Hispanic White Beneficiaries |
3596 |
Number Of Black or African American Beneficiaries |
706 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
118 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2504 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1966 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4819 |