National Provider Identifier [NPI]: |
1831164979 |
Last Name Of The Provider |
ERLANDSON |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5900 COLLEGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
KEY WEST |
Zip Code Of The Provider |
330404342 |
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 |
155 |
Number Of Services |
3913 |
Number Of Medicare Beneficiaries |
845 |
Total Submitted Charge Amount |
640979.75 |
Total Medicare Allowed Amount |
159624.28 |
Total Medicare Payment Amount |
120281.05 |
Total Medicare Standardized Payment Amount |
113525.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
26 |
Number Of Drug Services |
751 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
3461.75 |
Total Drug Medicare AllowedAmount |
1007.9 |
Total Drug Medicare PaymentAmount |
806.64 |
Total Drug Medicare Standardized Payment Amount |
806.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
3162 |
Number Of Medicare Beneficiaries With Medical Services |
844 |
Total Medical Submitted Charge Amount |
637518 |
Total Medical Medicare Allowed Amount |
158616.38 |
Total Medical Medicare Payment Amount |
119474.41 |
Total Medical Medicare Standardized Payment Amount |
112718.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
468 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
433 |
Number Of Non Hispanic White Beneficiaries |
701 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
100 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
745 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0887 |