National Provider Identifier [NPI]: |
1619073574 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
EDWARD |
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 |
2001 NE 48TH CT |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
333084512 |
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 |
52 |
Number Of Services |
5416 |
Number Of Medicare Beneficiaries |
517 |
Total Submitted Charge Amount |
639542.66 |
Total Medicare Allowed Amount |
564924.94 |
Total Medicare Payment Amount |
429449.32 |
Total Medicare Standardized Payment Amount |
411755.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
133 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
924.25 |
Total Drug Medicare AllowedAmount |
589.05 |
Total Drug Medicare PaymentAmount |
559.92 |
Total Drug Medicare Standardized Payment Amount |
559.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
5283 |
Number Of Medicare Beneficiaries With Medical Services |
517 |
Total Medical Submitted Charge Amount |
638618.41 |
Total Medical Medicare Allowed Amount |
564335.89 |
Total Medical Medicare Payment Amount |
428889.4 |
Total Medical Medicare Standardized Payment Amount |
411195.09 |
Average Age Of Beneficiaries |
85 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
53 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
295 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
178 |
Number Of Non Hispanic White Beneficiaries |
477 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
56 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9558 |