National Provider Identifier [NPI]: |
1194727586 |
Last Name Of The Provider |
KNIGHT |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 N ORANGE AVE |
Street Address 2 Of The Provider |
SUITE 520 |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328011026 |
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 |
65 |
Number Of Services |
7496 |
Number Of Medicare Beneficiaries |
1104 |
Total Submitted Charge Amount |
842801 |
Total Medicare Allowed Amount |
479395.15 |
Total Medicare Payment Amount |
356399.48 |
Total Medicare Standardized Payment Amount |
363647.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
6202 |
Total Drug Medicare AllowedAmount |
4921.97 |
Total Drug Medicare PaymentAmount |
3841.55 |
Total Drug Medicare Standardized Payment Amount |
3841.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
7475 |
Number Of Medicare Beneficiaries With Medical Services |
1104 |
Total Medical Submitted Charge Amount |
836599 |
Total Medical Medicare Allowed Amount |
474473.18 |
Total Medical Medicare Payment Amount |
352557.93 |
Total Medical Medicare Standardized Payment Amount |
359806.2 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
574 |
Number Of Beneficiaries Age 75 to 84 |
372 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
560 |
Number Of Male Beneficiaries |
544 |
Number Of Non Hispanic White Beneficiaries |
1036 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1073 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9964 |