National Provider Identifier [NPI]: |
1285677765 |
Last Name Of The Provider |
HOPKINS |
First Name Of The Provider |
TERRENCE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6011 CORTEZ RD W |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342102709 |
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 |
63 |
Number Of Services |
16060 |
Number Of Medicare Beneficiaries |
1255 |
Total Submitted Charge Amount |
881880.14 |
Total Medicare Allowed Amount |
803022.37 |
Total Medicare Payment Amount |
609334.43 |
Total Medicare Standardized Payment Amount |
584328.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
3487.4 |
Total Drug Medicare AllowedAmount |
3487.4 |
Total Drug Medicare PaymentAmount |
2718.85 |
Total Drug Medicare Standardized Payment Amount |
2718.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
16046 |
Number Of Medicare Beneficiaries With Medical Services |
1255 |
Total Medical Submitted Charge Amount |
878392.74 |
Total Medical Medicare Allowed Amount |
799534.97 |
Total Medical Medicare Payment Amount |
606615.58 |
Total Medical Medicare Standardized Payment Amount |
581609.77 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
350 |
Number Of Beneficiaries Age 75 to 84 |
572 |
Number Of Beneficiaries Age Greater 84 |
303 |
Number Of Female Beneficiaries |
653 |
Number Of Male Beneficiaries |
602 |
Number Of Non Hispanic White Beneficiaries |
1222 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1208 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1528 |