National Provider Identifier [NPI]: |
1972587269 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
308 W HIGHLAND BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
INVERNESS |
Zip Code Of The Provider |
344524716 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
8661 |
Number Of Medicare Beneficiaries |
1373 |
Total Submitted Charge Amount |
1689655 |
Total Medicare Allowed Amount |
687418.75 |
Total Medicare Payment Amount |
509842.24 |
Total Medicare Standardized Payment Amount |
517772.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
457 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
52098 |
Total Drug Medicare AllowedAmount |
24210.78 |
Total Drug Medicare PaymentAmount |
18761.24 |
Total Drug Medicare Standardized Payment Amount |
18761.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
8204 |
Number Of Medicare Beneficiaries With Medical Services |
1373 |
Total Medical Submitted Charge Amount |
1637557 |
Total Medical Medicare Allowed Amount |
663207.97 |
Total Medical Medicare Payment Amount |
491081 |
Total Medical Medicare Standardized Payment Amount |
499011.25 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
419 |
Number Of Beneficiaries Age 75 to 84 |
589 |
Number Of Beneficiaries Age Greater 84 |
311 |
Number Of Female Beneficiaries |
652 |
Number Of Male Beneficiaries |
721 |
Number Of Non Hispanic White Beneficiaries |
1316 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1260 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.486 |