National Provider Identifier [NPI]: |
1164461976 |
Last Name Of The Provider |
REED |
First Name Of The Provider |
OLIVER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12900 CORTEZ BLVD |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
BROOKSVILLE |
Zip Code Of The Provider |
346136828 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
18648 |
Number Of Medicare Beneficiaries |
1633 |
Total Submitted Charge Amount |
2552772.29 |
Total Medicare Allowed Amount |
1496943.03 |
Total Medicare Payment Amount |
1133730.36 |
Total Medicare Standardized Payment Amount |
1106354.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1447 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
4659 |
Total Drug Medicare AllowedAmount |
2822.65 |
Total Drug Medicare PaymentAmount |
2133.55 |
Total Drug Medicare Standardized Payment Amount |
2133.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
17201 |
Number Of Medicare Beneficiaries With Medical Services |
1633 |
Total Medical Submitted Charge Amount |
2548113.29 |
Total Medical Medicare Allowed Amount |
1494120.38 |
Total Medical Medicare Payment Amount |
1131596.81 |
Total Medical Medicare Standardized Payment Amount |
1104220.51 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
572 |
Number Of Beneficiaries Age 75 to 84 |
655 |
Number Of Beneficiaries Age Greater 84 |
346 |
Number Of Female Beneficiaries |
848 |
Number Of Male Beneficiaries |
785 |
Number Of Non Hispanic White Beneficiaries |
1581 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1596 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2168 |