National Provider Identifier [NPI]: |
1942532460 |
Last Name Of The Provider |
HAWKINS |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9430 PARK WEST BLVD |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379234200 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
1630.5 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
734348 |
Total Medicare Allowed Amount |
76983.91 |
Total Medicare Payment Amount |
59017 |
Total Medicare Standardized Payment Amount |
68623.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
491.5 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
34955 |
Total Drug Medicare AllowedAmount |
23142.77 |
Total Drug Medicare PaymentAmount |
17746.33 |
Total Drug Medicare Standardized Payment Amount |
17746.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1139 |
Number Of Medicare Beneficiaries With Medical Services |
461 |
Total Medical Submitted Charge Amount |
699393 |
Total Medical Medicare Allowed Amount |
53841.14 |
Total Medical Medicare Payment Amount |
41270.67 |
Total Medical Medicare Standardized Payment Amount |
50877.06 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
293 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
441 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
423 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.003 |