National Provider Identifier [NPI]: |
1992775571 |
Last Name Of The Provider |
MISCH |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
250 AVENUE K SW |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WINTER HAVEN |
Zip Code Of The Provider |
338803914 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
12163 |
Number Of Medicare Beneficiaries |
1264 |
Total Submitted Charge Amount |
2328945.34 |
Total Medicare Allowed Amount |
2268436.85 |
Total Medicare Payment Amount |
1729382.42 |
Total Medicare Standardized Payment Amount |
1737468.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3926 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
1417634.9 |
Total Drug Medicare AllowedAmount |
1413369.08 |
Total Drug Medicare PaymentAmount |
1096434.82 |
Total Drug Medicare Standardized Payment Amount |
1096434.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
8237 |
Number Of Medicare Beneficiaries With Medical Services |
1264 |
Total Medical Submitted Charge Amount |
911310.44 |
Total Medical Medicare Allowed Amount |
855067.77 |
Total Medical Medicare Payment Amount |
632947.6 |
Total Medical Medicare Standardized Payment Amount |
641034.05 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
491 |
Number Of Beneficiaries Age Greater 84 |
356 |
Number Of Female Beneficiaries |
721 |
Number Of Male Beneficiaries |
543 |
Number Of Non Hispanic White Beneficiaries |
1146 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1133 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4449 |