National Provider Identifier [NPI]: |
1376705350 |
Last Name Of The Provider |
BARRON |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2220 SE OCEAN BLVD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
STUART |
Zip Code Of The Provider |
349963301 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
9754 |
Number Of Medicare Beneficiaries |
1396 |
Total Submitted Charge Amount |
1311830.2 |
Total Medicare Allowed Amount |
1122158.67 |
Total Medicare Payment Amount |
859695.48 |
Total Medicare Standardized Payment Amount |
790320.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
161 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
13674.7 |
Total Drug Medicare AllowedAmount |
13577.35 |
Total Drug Medicare PaymentAmount |
10102.75 |
Total Drug Medicare Standardized Payment Amount |
10102.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
9593 |
Number Of Medicare Beneficiaries With Medical Services |
1396 |
Total Medical Submitted Charge Amount |
1298155.5 |
Total Medical Medicare Allowed Amount |
1108581.32 |
Total Medical Medicare Payment Amount |
849592.73 |
Total Medical Medicare Standardized Payment Amount |
780217.71 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
589 |
Number Of Beneficiaries Age 75 to 84 |
525 |
Number Of Beneficiaries Age Greater 84 |
259 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
789 |
Number Of Non Hispanic White Beneficiaries |
1374 |
Number Of Black or African American Beneficiaries |
|
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 |
1382 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0354 |