National Provider Identifier [NPI]: |
1659464840 |
Last Name Of The Provider |
MCKNIGHT |
First Name Of The Provider |
ELLEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3298 SUMMIT BOULEVARD |
Street Address 2 Of The Provider |
SUITE 9 |
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
32504 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
54257 |
Number Of Medicare Beneficiaries |
403 |
Total Submitted Charge Amount |
1613543.44 |
Total Medicare Allowed Amount |
1057200.62 |
Total Medicare Payment Amount |
817170.08 |
Total Medicare Standardized Payment Amount |
822818.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
52014 |
Number Of Medicare Beneficiaries With Drug Services |
218 |
Total Drug Submitted ChargeAmount |
1371556.44 |
Total Drug Medicare AllowedAmount |
909991.01 |
Total Drug Medicare PaymentAmount |
713055.67 |
Total Drug Medicare Standardized Payment Amount |
713055.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
2243 |
Number Of Medicare Beneficiaries With Medical Services |
403 |
Total Medical Submitted Charge Amount |
241987 |
Total Medical Medicare Allowed Amount |
147209.61 |
Total Medical Medicare Payment Amount |
104114.41 |
Total Medical Medicare Standardized Payment Amount |
109762.72 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
160 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
73 |
Number Of Non Hispanic White Beneficiaries |
358 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2773 |