National Provider Identifier [NPI]: |
1619064623 |
Last Name Of The Provider |
TOMPKINS |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1818 SW 15TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
34474 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
206 |
Number Of Services |
31313 |
Number Of Medicare Beneficiaries |
6080 |
Total Submitted Charge Amount |
2360174.1 |
Total Medicare Allowed Amount |
726209.32 |
Total Medicare Payment Amount |
583548.49 |
Total Medicare Standardized Payment Amount |
598793.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
20686 |
Number Of Medicare Beneficiaries With Drug Services |
282 |
Total Drug Submitted ChargeAmount |
56692.5 |
Total Drug Medicare AllowedAmount |
6129.16 |
Total Drug Medicare PaymentAmount |
4703.91 |
Total Drug Medicare Standardized Payment Amount |
4703.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
201 |
Number Of Medical Services |
10627 |
Number Of Medicare Beneficiaries With Medical Services |
6077 |
Total Medical Submitted Charge Amount |
2303481.6 |
Total Medical Medicare Allowed Amount |
720080.16 |
Total Medical Medicare Payment Amount |
578844.58 |
Total Medical Medicare Standardized Payment Amount |
594089.21 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
771 |
Number Of Beneficiaries Age 65 to 74 |
2199 |
Number Of Beneficiaries Age 75 to 84 |
2128 |
Number Of Beneficiaries Age Greater 84 |
982 |
Number Of Female Beneficiaries |
4006 |
Number Of Male Beneficiaries |
2074 |
Number Of Non Hispanic White Beneficiaries |
5288 |
Number Of Black or African American Beneficiaries |
441 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
260 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
57 |
Number Of Beneficiaries With Medicare Only Entitlement |
4932 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1148 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6375 |