National Provider Identifier [NPI]: |
1417967258 |
Last Name Of The Provider |
GUILDFORD |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 N DIXIE HWY |
Street Address 2 Of The Provider |
SUITE 209 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334012712 |
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 |
40 |
Number Of Services |
14607 |
Number Of Medicare Beneficiaries |
1251 |
Total Submitted Charge Amount |
2140294.02 |
Total Medicare Allowed Amount |
2111325.27 |
Total Medicare Payment Amount |
1620564.88 |
Total Medicare Standardized Payment Amount |
1594852.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1493 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
1051913.45 |
Total Drug Medicare AllowedAmount |
1050052.55 |
Total Drug Medicare PaymentAmount |
820697.32 |
Total Drug Medicare Standardized Payment Amount |
820697.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
13114 |
Number Of Medicare Beneficiaries With Medical Services |
1251 |
Total Medical Submitted Charge Amount |
1088380.57 |
Total Medical Medicare Allowed Amount |
1061272.72 |
Total Medical Medicare Payment Amount |
799867.56 |
Total Medical Medicare Standardized Payment Amount |
774155.46 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
343 |
Number Of Beneficiaries Age 75 to 84 |
433 |
Number Of Beneficiaries Age Greater 84 |
435 |
Number Of Female Beneficiaries |
719 |
Number Of Male Beneficiaries |
532 |
Number Of Non Hispanic White Beneficiaries |
1132 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4171 |