National Provider Identifier [NPI]: |
1407929599 |
Last Name Of The Provider |
HOPKINS |
First Name Of The Provider |
SHEYLA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 W TIMBERLANE DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
PLANT CITY |
Zip Code Of The Provider |
335660959 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
2160 |
Number Of Medicare Beneficiaries |
191 |
Total Submitted Charge Amount |
191657 |
Total Medicare Allowed Amount |
88437.71 |
Total Medicare Payment Amount |
66427.43 |
Total Medicare Standardized Payment Amount |
68829.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
223 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
8745 |
Total Drug Medicare AllowedAmount |
4789.76 |
Total Drug Medicare PaymentAmount |
4645.15 |
Total Drug Medicare Standardized Payment Amount |
4645.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1937 |
Number Of Medicare Beneficiaries With Medical Services |
191 |
Total Medical Submitted Charge Amount |
182912 |
Total Medical Medicare Allowed Amount |
83647.95 |
Total Medical Medicare Payment Amount |
61782.28 |
Total Medical Medicare Standardized Payment Amount |
64184.12 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
49 |
Number Of Non Hispanic White Beneficiaries |
167 |
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 |
161 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.195 |