National Provider Identifier [NPI]: |
1578624342 |
Last Name Of The Provider |
THOMPSON |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3200 SW 34TH AVE |
Street Address 2 Of The Provider |
BLDG 200, STE 202 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344747456 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
29500.5 |
Number Of Medicare Beneficiaries |
1634 |
Total Submitted Charge Amount |
1439079.44 |
Total Medicare Allowed Amount |
1154460.96 |
Total Medicare Payment Amount |
909648.65 |
Total Medicare Standardized Payment Amount |
938229.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
6564.5 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
170757.31 |
Total Drug Medicare AllowedAmount |
145129.1 |
Total Drug Medicare PaymentAmount |
113174.17 |
Total Drug Medicare Standardized Payment Amount |
113174.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
22936 |
Number Of Medicare Beneficiaries With Medical Services |
1634 |
Total Medical Submitted Charge Amount |
1268322.13 |
Total Medical Medicare Allowed Amount |
1009331.86 |
Total Medical Medicare Payment Amount |
796474.48 |
Total Medical Medicare Standardized Payment Amount |
825055.8 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
681 |
Number Of Beneficiaries Age 75 to 84 |
669 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
422 |
Number Of Male Beneficiaries |
1212 |
Number Of Non Hispanic White Beneficiaries |
1528 |
Number Of Black or African American Beneficiaries |
43 |
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 |
1534 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2766 |