National Provider Identifier [NPI]: |
1306806641 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6901 INTERNATIONAL CENTER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FT MYERS |
Zip Code Of The Provider |
339127125 |
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 |
39 |
Number Of Services |
19617 |
Number Of Medicare Beneficiaries |
2142 |
Total Submitted Charge Amount |
7724398.57 |
Total Medicare Allowed Amount |
4607654.45 |
Total Medicare Payment Amount |
3546567.17 |
Total Medicare Standardized Payment Amount |
3495498.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4039 |
Number Of Medicare Beneficiaries With Drug Services |
424 |
Total Drug Submitted ChargeAmount |
4500080 |
Total Drug Medicare AllowedAmount |
2922205.14 |
Total Drug Medicare PaymentAmount |
2279835.85 |
Total Drug Medicare Standardized Payment Amount |
2279835.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
15578 |
Number Of Medicare Beneficiaries With Medical Services |
2141 |
Total Medical Submitted Charge Amount |
3224318.57 |
Total Medical Medicare Allowed Amount |
1685449.31 |
Total Medical Medicare Payment Amount |
1266731.32 |
Total Medical Medicare Standardized Payment Amount |
1215662.6 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
680 |
Number Of Beneficiaries Age 75 to 84 |
876 |
Number Of Beneficiaries Age Greater 84 |
525 |
Number Of Female Beneficiaries |
1166 |
Number Of Male Beneficiaries |
976 |
Number Of Non Hispanic White Beneficiaries |
1995 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2031 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4075 |