National Provider Identifier [NPI]: |
1477542223 |
Last Name Of The Provider |
MILES |
First Name Of The Provider |
DAVID |
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 |
8333 N DAVIS HWY |
Street Address 2 Of The Provider |
4TH FLOOR |
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325146050 |
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 |
42 |
Number Of Services |
12523 |
Number Of Medicare Beneficiaries |
5196 |
Total Submitted Charge Amount |
884998 |
Total Medicare Allowed Amount |
476216.25 |
Total Medicare Payment Amount |
358211.52 |
Total Medicare Standardized Payment Amount |
350074.65 |
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 |
42 |
Number Of Medical Services |
12523 |
Number Of Medicare Beneficiaries With Medical Services |
5196 |
Total Medical Submitted Charge Amount |
884998 |
Total Medical Medicare Allowed Amount |
476216.25 |
Total Medical Medicare Payment Amount |
358211.52 |
Total Medical Medicare Standardized Payment Amount |
350074.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
824 |
Number Of Beneficiaries Age 65 to 74 |
1792 |
Number Of Beneficiaries Age 75 to 84 |
1715 |
Number Of Beneficiaries Age Greater 84 |
865 |
Number Of Female Beneficiaries |
2723 |
Number Of Male Beneficiaries |
2473 |
Number Of Non Hispanic White Beneficiaries |
4445 |
Number Of Black or African American Beneficiaries |
584 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
4094 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1102 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7486 |