National Provider Identifier [NPI]: |
1821107061 |
Last Name Of The Provider |
COLTON |
First Name Of The Provider |
ANDREA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6290 LINTON BLVD STE 2 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334846409 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
3819 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
318850.3 |
Total Medicare Allowed Amount |
246512.82 |
Total Medicare Payment Amount |
185248.36 |
Total Medicare Standardized Payment Amount |
173609.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
47 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
2131.3 |
Total Drug Medicare AllowedAmount |
1991.35 |
Total Drug Medicare PaymentAmount |
1561.17 |
Total Drug Medicare Standardized Payment Amount |
1561.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3772 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
316719 |
Total Medical Medicare Allowed Amount |
244521.47 |
Total Medical Medicare Payment Amount |
183687.19 |
Total Medical Medicare Standardized Payment Amount |
172048.59 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
482 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
668 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
674 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1554 |