National Provider Identifier [NPI]: |
1295769040 |
Last Name Of The Provider |
GARLAND |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 MARTIN LUTHER KING JR BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PANAMA CITY |
Zip Code Of The Provider |
324054412 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
5031 |
Number Of Medicare Beneficiaries |
1477 |
Total Submitted Charge Amount |
2256982 |
Total Medicare Allowed Amount |
1026467.18 |
Total Medicare Payment Amount |
773261.76 |
Total Medicare Standardized Payment Amount |
726524.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
688 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
8944 |
Total Drug Medicare AllowedAmount |
3785.3 |
Total Drug Medicare PaymentAmount |
2875.43 |
Total Drug Medicare Standardized Payment Amount |
2875.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
4343 |
Number Of Medicare Beneficiaries With Medical Services |
1477 |
Total Medical Submitted Charge Amount |
2248038 |
Total Medical Medicare Allowed Amount |
1022681.88 |
Total Medical Medicare Payment Amount |
770386.33 |
Total Medical Medicare Standardized Payment Amount |
723649.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
732 |
Number Of Beneficiaries Age 75 to 84 |
539 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
876 |
Number Of Male Beneficiaries |
601 |
Number Of Non Hispanic White Beneficiaries |
1360 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1302 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0608 |