National Provider Identifier [NPI]: |
1174514053 |
Last Name Of The Provider |
MCMANUS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1995 W NASA BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329042300 |
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 |
45 |
Number Of Services |
12950 |
Number Of Medicare Beneficiaries |
1970 |
Total Submitted Charge Amount |
2687054.1 |
Total Medicare Allowed Amount |
1474147.29 |
Total Medicare Payment Amount |
1109289.03 |
Total Medicare Standardized Payment Amount |
1112993.07 |
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 |
45 |
Number Of Medical Services |
12950 |
Number Of Medicare Beneficiaries With Medical Services |
1970 |
Total Medical Submitted Charge Amount |
2687054.1 |
Total Medical Medicare Allowed Amount |
1474147.29 |
Total Medical Medicare Payment Amount |
1109289.03 |
Total Medical Medicare Standardized Payment Amount |
1112993.07 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
666 |
Number Of Beneficiaries Age 75 to 84 |
844 |
Number Of Beneficiaries Age Greater 84 |
420 |
Number Of Female Beneficiaries |
1119 |
Number Of Male Beneficiaries |
851 |
Number Of Non Hispanic White Beneficiaries |
1795 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1892 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1875 |