National Provider Identifier [NPI]: |
1598794810 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
DARIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12264 TAMIAMI TRL E |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341137942 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
7583 |
Number Of Medicare Beneficiaries |
979 |
Total Submitted Charge Amount |
838414 |
Total Medicare Allowed Amount |
401643.68 |
Total Medicare Payment Amount |
295709.44 |
Total Medicare Standardized Payment Amount |
286740.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1421 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
18301 |
Total Drug Medicare AllowedAmount |
6589.25 |
Total Drug Medicare PaymentAmount |
5699.48 |
Total Drug Medicare Standardized Payment Amount |
5699.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
6162 |
Number Of Medicare Beneficiaries With Medical Services |
979 |
Total Medical Submitted Charge Amount |
820113 |
Total Medical Medicare Allowed Amount |
395054.43 |
Total Medical Medicare Payment Amount |
290009.96 |
Total Medical Medicare Standardized Payment Amount |
281040.9 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
416 |
Number Of Beneficiaries Age 75 to 84 |
419 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
952 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
948 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0254 |