National Provider Identifier [NPI]: |
1073587663 |
Last Name Of The Provider |
HAWKINS |
First Name Of The Provider |
BRANDON |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3857 STOCKDALE HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933092187 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
12080 |
Number Of Medicare Beneficiaries |
1343 |
Total Submitted Charge Amount |
1309175 |
Total Medicare Allowed Amount |
843773.38 |
Total Medicare Payment Amount |
632501.8 |
Total Medicare Standardized Payment Amount |
616672.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1676 |
Number Of Medicare Beneficiaries With Drug Services |
213 |
Total Drug Submitted ChargeAmount |
150385 |
Total Drug Medicare AllowedAmount |
115345.02 |
Total Drug Medicare PaymentAmount |
90176.75 |
Total Drug Medicare Standardized Payment Amount |
90176.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
10404 |
Number Of Medicare Beneficiaries With Medical Services |
1343 |
Total Medical Submitted Charge Amount |
1158790 |
Total Medical Medicare Allowed Amount |
728428.36 |
Total Medical Medicare Payment Amount |
542325.05 |
Total Medical Medicare Standardized Payment Amount |
526495.39 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
368 |
Number Of Beneficiaries Age 65 to 74 |
471 |
Number Of Beneficiaries Age 75 to 84 |
327 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
750 |
Number Of Male Beneficiaries |
593 |
Number Of Non Hispanic White Beneficiaries |
609 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
640 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
492 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
851 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8937 |