National Provider Identifier [NPI]: |
1225062086 |
Last Name Of The Provider |
WATKINS |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
106 IRVING STREET NW |
Street Address 2 Of The Provider |
SUITE 3200N |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
20010 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
902 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
147824 |
Total Medicare Allowed Amount |
88114.99 |
Total Medicare Payment Amount |
62433.13 |
Total Medicare Standardized Payment Amount |
56680.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
2615 |
Total Drug Medicare AllowedAmount |
1500.65 |
Total Drug Medicare PaymentAmount |
1176.35 |
Total Drug Medicare Standardized Payment Amount |
1176.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
849 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
145209 |
Total Medical Medicare Allowed Amount |
86614.34 |
Total Medical Medicare Payment Amount |
61256.78 |
Total Medical Medicare Standardized Payment Amount |
55503.75 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
247 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
348 |
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 |
329 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4251 |