National Provider Identifier [NPI]: |
1912968694 |
Last Name Of The Provider |
MILAM |
First Name Of The Provider |
CATHY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7400 S TAMIAMI TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342317006 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
15306 |
Number Of Medicare Beneficiaries |
2761 |
Total Submitted Charge Amount |
1292109.11 |
Total Medicare Allowed Amount |
904128.09 |
Total Medicare Payment Amount |
665974.68 |
Total Medicare Standardized Payment Amount |
663046.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
460 |
Number Of Medicare Beneficiaries With Drug Services |
265 |
Total Drug Submitted ChargeAmount |
68560.64 |
Total Drug Medicare AllowedAmount |
63068.66 |
Total Drug Medicare PaymentAmount |
48949.68 |
Total Drug Medicare Standardized Payment Amount |
48949.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
14846 |
Number Of Medicare Beneficiaries With Medical Services |
2761 |
Total Medical Submitted Charge Amount |
1223548.47 |
Total Medical Medicare Allowed Amount |
841059.43 |
Total Medical Medicare Payment Amount |
617025 |
Total Medical Medicare Standardized Payment Amount |
614097.14 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
1103 |
Number Of Beneficiaries Age 75 to 84 |
1013 |
Number Of Beneficiaries Age Greater 84 |
608 |
Number Of Female Beneficiaries |
1583 |
Number Of Male Beneficiaries |
1178 |
Number Of Non Hispanic White Beneficiaries |
2682 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
2735 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0096 |