National Provider Identifier [NPI]: |
1982609392 |
Last Name Of The Provider |
DEES |
First Name Of The Provider |
MORRIS |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 SAWGRASS VILLAGE DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
PONTE VEDRA BEACH |
Zip Code Of The Provider |
320825048 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
3417 |
Number Of Medicare Beneficiaries |
277 |
Total Submitted Charge Amount |
303965.64 |
Total Medicare Allowed Amount |
174485.34 |
Total Medicare Payment Amount |
130586.81 |
Total Medicare Standardized Payment Amount |
131133.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
529 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
17484.91 |
Total Drug Medicare AllowedAmount |
8750.87 |
Total Drug Medicare PaymentAmount |
7611.06 |
Total Drug Medicare Standardized Payment Amount |
7611.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
2888 |
Number Of Medicare Beneficiaries With Medical Services |
277 |
Total Medical Submitted Charge Amount |
286480.73 |
Total Medical Medicare Allowed Amount |
165734.47 |
Total Medical Medicare Payment Amount |
122975.75 |
Total Medical Medicare Standardized Payment Amount |
123522.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
254 |
Number Of Black or African American Beneficiaries |
|
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 |
266 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1987 |