National Provider Identifier [NPI]: |
1386688950 |
Last Name Of The Provider |
HAMPER |
First Name Of The Provider |
CHRIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9030 KIMBERLY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334342823 |
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 |
1452 |
Number Of Medicare Beneficiaries |
478 |
Total Submitted Charge Amount |
121566 |
Total Medicare Allowed Amount |
84222.37 |
Total Medicare Payment Amount |
64732.03 |
Total Medicare Standardized Payment Amount |
73827.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
810 |
Total Drug Medicare AllowedAmount |
646.87 |
Total Drug Medicare PaymentAmount |
618.43 |
Total Drug Medicare Standardized Payment Amount |
618.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1403 |
Number Of Medicare Beneficiaries With Medical Services |
478 |
Total Medical Submitted Charge Amount |
120756 |
Total Medical Medicare Allowed Amount |
83575.5 |
Total Medical Medicare Payment Amount |
64113.6 |
Total Medical Medicare Standardized Payment Amount |
73209.5 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
256 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
451 |
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 |
395 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8625 |