National Provider Identifier [NPI]: |
1508939000 |
Last Name Of The Provider |
THOMAS |
First Name Of The Provider |
ERIN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1021 N STATE ROAD 7 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROYAL PALM BEACH |
Zip Code Of The Provider |
334115117 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1453 |
Number Of Medicare Beneficiaries |
980 |
Total Submitted Charge Amount |
244217 |
Total Medicare Allowed Amount |
106129.99 |
Total Medicare Payment Amount |
73582.98 |
Total Medicare Standardized Payment Amount |
86173.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
45 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
1620 |
Total Drug Medicare AllowedAmount |
746.04 |
Total Drug Medicare PaymentAmount |
590.78 |
Total Drug Medicare Standardized Payment Amount |
590.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1408 |
Number Of Medicare Beneficiaries With Medical Services |
980 |
Total Medical Submitted Charge Amount |
242597 |
Total Medical Medicare Allowed Amount |
105383.95 |
Total Medical Medicare Payment Amount |
72992.2 |
Total Medical Medicare Standardized Payment Amount |
85582.5 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
384 |
Number Of Beneficiaries Age 75 to 84 |
409 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
630 |
Number Of Male Beneficiaries |
350 |
Number Of Non Hispanic White Beneficiaries |
957 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1709 |