National Provider Identifier [NPI]: |
1851390512 |
Last Name Of The Provider |
MORRISH |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 MANATEE AVE W |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342058604 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
6359 |
Number Of Medicare Beneficiaries |
1231 |
Total Submitted Charge Amount |
898352 |
Total Medicare Allowed Amount |
400801.05 |
Total Medicare Payment Amount |
295781.36 |
Total Medicare Standardized Payment Amount |
290404.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
730 |
Total Drug Medicare AllowedAmount |
3.41 |
Total Drug Medicare PaymentAmount |
2.61 |
Total Drug Medicare Standardized Payment Amount |
2.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
6334 |
Number Of Medicare Beneficiaries With Medical Services |
1231 |
Total Medical Submitted Charge Amount |
897622 |
Total Medical Medicare Allowed Amount |
400797.64 |
Total Medical Medicare Payment Amount |
295778.75 |
Total Medical Medicare Standardized Payment Amount |
290402.08 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
413 |
Number Of Beneficiaries Age 75 to 84 |
429 |
Number Of Beneficiaries Age Greater 84 |
321 |
Number Of Female Beneficiaries |
695 |
Number Of Male Beneficiaries |
536 |
Number Of Non Hispanic White Beneficiaries |
1171 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1148 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2963 |