National Provider Identifier [NPI]: |
1891797056 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10200 YALE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEEKI WACHEE |
Zip Code Of The Provider |
346138375 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
4207 |
Number Of Medicare Beneficiaries |
867 |
Total Submitted Charge Amount |
502089.71 |
Total Medicare Allowed Amount |
315152.49 |
Total Medicare Payment Amount |
218233.8 |
Total Medicare Standardized Payment Amount |
219477.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
907 |
Number Of Medicare Beneficiaries With Drug Services |
282 |
Total Drug Submitted ChargeAmount |
18500 |
Total Drug Medicare AllowedAmount |
4125.44 |
Total Drug Medicare PaymentAmount |
3809.78 |
Total Drug Medicare Standardized Payment Amount |
3809.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3300 |
Number Of Medicare Beneficiaries With Medical Services |
867 |
Total Medical Submitted Charge Amount |
483589.71 |
Total Medical Medicare Allowed Amount |
311027.05 |
Total Medical Medicare Payment Amount |
214424.02 |
Total Medical Medicare Standardized Payment Amount |
215668.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
827 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
819 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1586 |