National Provider Identifier [NPI]: |
1598875304 |
Last Name Of The Provider |
WILKINS |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
415 S 28TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394017246 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
5735 |
Number Of Medicare Beneficiaries |
1659 |
Total Submitted Charge Amount |
3624361.5 |
Total Medicare Allowed Amount |
773031.61 |
Total Medicare Payment Amount |
580899.08 |
Total Medicare Standardized Payment Amount |
618506.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
286 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
20638 |
Total Drug Medicare AllowedAmount |
3780.02 |
Total Drug Medicare PaymentAmount |
2836.46 |
Total Drug Medicare Standardized Payment Amount |
2836.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
5449 |
Number Of Medicare Beneficiaries With Medical Services |
1659 |
Total Medical Submitted Charge Amount |
3603723.5 |
Total Medical Medicare Allowed Amount |
769251.59 |
Total Medical Medicare Payment Amount |
578062.62 |
Total Medical Medicare Standardized Payment Amount |
615669.93 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
252 |
Number Of Beneficiaries Age 65 to 74 |
707 |
Number Of Beneficiaries Age 75 to 84 |
519 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
825 |
Number Of Male Beneficiaries |
834 |
Number Of Non Hispanic White Beneficiaries |
1348 |
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 |
1204 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
455 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5714 |