National Provider Identifier [NPI]: |
1346295565 |
Last Name Of The Provider |
FLORES |
First Name Of The Provider |
ANA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6029 WALNUT GROVE ROAD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
38120 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
5876 |
Number Of Medicare Beneficiaries |
960 |
Total Submitted Charge Amount |
1804504 |
Total Medicare Allowed Amount |
910274.27 |
Total Medicare Payment Amount |
681033.93 |
Total Medicare Standardized Payment Amount |
715423.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
920 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
691020 |
Total Drug Medicare AllowedAmount |
484727.36 |
Total Drug Medicare PaymentAmount |
377934 |
Total Drug Medicare Standardized Payment Amount |
377934 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
4956 |
Number Of Medicare Beneficiaries With Medical Services |
960 |
Total Medical Submitted Charge Amount |
1113484 |
Total Medical Medicare Allowed Amount |
425546.91 |
Total Medical Medicare Payment Amount |
303099.93 |
Total Medical Medicare Standardized Payment Amount |
337489.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
569 |
Number Of Male Beneficiaries |
391 |
Number Of Non Hispanic White Beneficiaries |
667 |
Number Of Black or African American Beneficiaries |
260 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
167 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2933 |