National Provider Identifier [NPI]: |
1346238193 |
Last Name Of The Provider |
TRIGG |
First Name Of The Provider |
LANCE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1818 SW 15TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344743548 |
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 |
207 |
Number Of Services |
34203 |
Number Of Medicare Beneficiaries |
5474 |
Total Submitted Charge Amount |
2485952.5 |
Total Medicare Allowed Amount |
802981.24 |
Total Medicare Payment Amount |
671942.54 |
Total Medicare Standardized Payment Amount |
688137.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
24598 |
Number Of Medicare Beneficiaries With Drug Services |
310 |
Total Drug Submitted ChargeAmount |
63993.5 |
Total Drug Medicare AllowedAmount |
5690.77 |
Total Drug Medicare PaymentAmount |
4447.75 |
Total Drug Medicare Standardized Payment Amount |
4447.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
202 |
Number Of Medical Services |
9605 |
Number Of Medicare Beneficiaries With Medical Services |
5473 |
Total Medical Submitted Charge Amount |
2421959 |
Total Medical Medicare Allowed Amount |
797290.47 |
Total Medical Medicare Payment Amount |
667494.79 |
Total Medical Medicare Standardized Payment Amount |
683689.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
576 |
Number Of Beneficiaries Age 65 to 74 |
2194 |
Number Of Beneficiaries Age 75 to 84 |
1985 |
Number Of Beneficiaries Age Greater 84 |
719 |
Number Of Female Beneficiaries |
4081 |
Number Of Male Beneficiaries |
1393 |
Number Of Non Hispanic White Beneficiaries |
4810 |
Number Of Black or African American Beneficiaries |
354 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
221 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
4699 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
775 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4215 |