National Provider Identifier [NPI]: |
1689643645 |
Last Name Of The Provider |
BEAR |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9400 UNIVERSITY PKWY |
Street Address 2 Of The Provider |
SUITE 109 |
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325145752 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
36330 |
Number Of Medicare Beneficiaries |
1143 |
Total Submitted Charge Amount |
1137594 |
Total Medicare Allowed Amount |
655587.43 |
Total Medicare Payment Amount |
484719.2 |
Total Medicare Standardized Payment Amount |
473446.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
32785 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
266219 |
Total Drug Medicare AllowedAmount |
179437.5 |
Total Drug Medicare PaymentAmount |
128509.82 |
Total Drug Medicare Standardized Payment Amount |
128509.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3545 |
Number Of Medicare Beneficiaries With Medical Services |
1143 |
Total Medical Submitted Charge Amount |
871375 |
Total Medical Medicare Allowed Amount |
476149.93 |
Total Medical Medicare Payment Amount |
356209.38 |
Total Medical Medicare Standardized Payment Amount |
344936.7 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
299 |
Number Of Beneficiaries Age 65 to 74 |
425 |
Number Of Beneficiaries Age 75 to 84 |
325 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
651 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
975 |
Number Of Black or African American Beneficiaries |
114 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
915 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.3625 |