National Provider Identifier [NPI]: |
1326167230 |
Last Name Of The Provider |
TOMAN |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7301A W PALMETTO PARK RD |
Street Address 2 Of The Provider |
SUITE 100B |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334333409 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
200 |
Number Of Services |
3563 |
Number Of Medicare Beneficiaries |
577 |
Total Submitted Charge Amount |
2013370.26 |
Total Medicare Allowed Amount |
567012.05 |
Total Medicare Payment Amount |
441523.95 |
Total Medicare Standardized Payment Amount |
410231.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
732 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
23162.7 |
Total Drug Medicare AllowedAmount |
11765.21 |
Total Drug Medicare PaymentAmount |
9223.77 |
Total Drug Medicare Standardized Payment Amount |
9223.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
197 |
Number Of Medical Services |
2831 |
Number Of Medicare Beneficiaries With Medical Services |
577 |
Total Medical Submitted Charge Amount |
1990207.56 |
Total Medical Medicare Allowed Amount |
555246.84 |
Total Medical Medicare Payment Amount |
432300.18 |
Total Medical Medicare Standardized Payment Amount |
401007.67 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
543 |
Number Of Black or African American Beneficiaries |
|
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 |
530 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.551 |