National Provider Identifier [NPI]: |
1114939709 |
Last Name Of The Provider |
STOKES |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3276 GREENWALD WAY N |
Street Address 2 Of The Provider |
|
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
347410728 |
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 |
72 |
Number Of Services |
11625 |
Number Of Medicare Beneficiaries |
1292 |
Total Submitted Charge Amount |
797032.24 |
Total Medicare Allowed Amount |
677756.41 |
Total Medicare Payment Amount |
498855 |
Total Medicare Standardized Payment Amount |
484624.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
1422.65 |
Total Drug Medicare AllowedAmount |
1402.07 |
Total Drug Medicare PaymentAmount |
1065.04 |
Total Drug Medicare Standardized Payment Amount |
1065.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
11595 |
Number Of Medicare Beneficiaries With Medical Services |
1292 |
Total Medical Submitted Charge Amount |
795609.59 |
Total Medical Medicare Allowed Amount |
676354.34 |
Total Medical Medicare Payment Amount |
497789.96 |
Total Medical Medicare Standardized Payment Amount |
483559.04 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
714 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
734 |
Number Of Male Beneficiaries |
558 |
Number Of Non Hispanic White Beneficiaries |
1127 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
118 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1213 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9948 |