National Provider Identifier [NPI]: |
1184679821 |
Last Name Of The Provider |
WATSON |
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 |
6002 BERRY HILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MILTON |
Zip Code Of The Provider |
32570 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
216 |
Number Of Services |
8387 |
Number Of Medicare Beneficiaries |
3848 |
Total Submitted Charge Amount |
961973.45 |
Total Medicare Allowed Amount |
221652.08 |
Total Medicare Payment Amount |
165681.57 |
Total Medicare Standardized Payment Amount |
165810.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
216 |
Number Of Medical Services |
8387 |
Number Of Medicare Beneficiaries With Medical Services |
3848 |
Total Medical Submitted Charge Amount |
961973.45 |
Total Medical Medicare Allowed Amount |
221652.08 |
Total Medical Medicare Payment Amount |
165681.57 |
Total Medical Medicare Standardized Payment Amount |
165810.91 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
623 |
Number Of Beneficiaries Age 65 to 74 |
1316 |
Number Of Beneficiaries Age 75 to 84 |
1333 |
Number Of Beneficiaries Age Greater 84 |
576 |
Number Of Female Beneficiaries |
2383 |
Number Of Male Beneficiaries |
1465 |
Number Of Non Hispanic White Beneficiaries |
3493 |
Number Of Black or African American Beneficiaries |
239 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
2998 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
850 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5682 |