National Provider Identifier [NPI]: |
1316909724 |
Last Name Of The Provider |
TERRACINA |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. P.A. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2525 HIGHWAY 1 S |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
387018354 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
14050 |
Number Of Medicare Beneficiaries |
1340 |
Total Submitted Charge Amount |
1635808.38 |
Total Medicare Allowed Amount |
1148444.12 |
Total Medicare Payment Amount |
849996.17 |
Total Medicare Standardized Payment Amount |
956859.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2315 |
Number Of Medicare Beneficiaries With Drug Services |
690 |
Total Drug Submitted ChargeAmount |
4955.02 |
Total Drug Medicare AllowedAmount |
2746.48 |
Total Drug Medicare PaymentAmount |
1993.87 |
Total Drug Medicare Standardized Payment Amount |
1993.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
11735 |
Number Of Medicare Beneficiaries With Medical Services |
1340 |
Total Medical Submitted Charge Amount |
1630853.36 |
Total Medical Medicare Allowed Amount |
1145697.64 |
Total Medical Medicare Payment Amount |
848002.3 |
Total Medical Medicare Standardized Payment Amount |
954865.92 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
570 |
Number Of Beneficiaries Age 75 to 84 |
406 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
762 |
Number Of Male Beneficiaries |
578 |
Number Of Non Hispanic White Beneficiaries |
1015 |
Number Of Black or African American Beneficiaries |
312 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1085 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
255 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9947 |