National Provider Identifier [NPI]: |
1235232042 |
Last Name Of The Provider |
WILKES |
First Name Of The Provider |
MARGARET |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1050 NW 15TH ST |
Street Address 2 Of The Provider |
SUITE 212A |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334861375 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
19383 |
Number Of Medicare Beneficiaries |
600 |
Total Submitted Charge Amount |
424080.19 |
Total Medicare Allowed Amount |
390166.63 |
Total Medicare Payment Amount |
308329.64 |
Total Medicare Standardized Payment Amount |
297781.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
9765 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
117815.68 |
Total Drug Medicare AllowedAmount |
117383.06 |
Total Drug Medicare PaymentAmount |
91530.28 |
Total Drug Medicare Standardized Payment Amount |
91530.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
9618 |
Number Of Medicare Beneficiaries With Medical Services |
600 |
Total Medical Submitted Charge Amount |
306264.51 |
Total Medical Medicare Allowed Amount |
272783.57 |
Total Medical Medicare Payment Amount |
216799.36 |
Total Medical Medicare Standardized Payment Amount |
206251.55 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
258 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
572 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
582 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
44 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3536 |