National Provider Identifier [NPI]: |
1033176664 |
Last Name Of The Provider |
HAWKINS |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1867 W MARKET ST |
Street Address 2 Of The Provider |
STE C14 |
City Of The Provider |
AKRON |
Zip Code Of The Provider |
443136900 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3546 |
Number Of Medicare Beneficiaries |
666 |
Total Submitted Charge Amount |
282862 |
Total Medicare Allowed Amount |
165669.6 |
Total Medicare Payment Amount |
114473.53 |
Total Medicare Standardized Payment Amount |
119086.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
99 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
990 |
Total Drug Medicare AllowedAmount |
174.9 |
Total Drug Medicare PaymentAmount |
119.1 |
Total Drug Medicare Standardized Payment Amount |
119.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3447 |
Number Of Medicare Beneficiaries With Medical Services |
666 |
Total Medical Submitted Charge Amount |
281872 |
Total Medical Medicare Allowed Amount |
165494.7 |
Total Medical Medicare Payment Amount |
114354.43 |
Total Medical Medicare Standardized Payment Amount |
118967.48 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
312 |
Number Of Non Hispanic White Beneficiaries |
630 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1082 |