National Provider Identifier [NPI]: |
1629030655 |
Last Name Of The Provider |
MCKINNEY |
First Name Of The Provider |
TRENITY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1299 JACARANDA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
VENICE |
Zip Code Of The Provider |
342924522 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5423 |
Number Of Medicare Beneficiaries |
1670 |
Total Submitted Charge Amount |
708619.33 |
Total Medicare Allowed Amount |
552061.03 |
Total Medicare Payment Amount |
399819.48 |
Total Medicare Standardized Payment Amount |
401860.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
5423 |
Number Of Medicare Beneficiaries With Medical Services |
1670 |
Total Medical Submitted Charge Amount |
708619.33 |
Total Medical Medicare Allowed Amount |
552061.03 |
Total Medical Medicare Payment Amount |
399819.48 |
Total Medical Medicare Standardized Payment Amount |
401860.38 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
601 |
Number Of Beneficiaries Age 75 to 84 |
631 |
Number Of Beneficiaries Age Greater 84 |
404 |
Number Of Female Beneficiaries |
988 |
Number Of Male Beneficiaries |
682 |
Number Of Non Hispanic White Beneficiaries |
1627 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1624 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.038 |