National Provider Identifier [NPI]: |
1598731200 |
Last Name Of The Provider |
BARNES |
First Name Of The Provider |
ELENA |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
205 E NASA BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329011950 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
13418 |
Number Of Medicare Beneficiaries |
905 |
Total Submitted Charge Amount |
1100937 |
Total Medicare Allowed Amount |
470901.43 |
Total Medicare Payment Amount |
359672.46 |
Total Medicare Standardized Payment Amount |
358758.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
6611 |
Number Of Medicare Beneficiaries With Drug Services |
318 |
Total Drug Submitted ChargeAmount |
238499 |
Total Drug Medicare AllowedAmount |
123929.07 |
Total Drug Medicare PaymentAmount |
97055.88 |
Total Drug Medicare Standardized Payment Amount |
97055.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
6807 |
Number Of Medicare Beneficiaries With Medical Services |
905 |
Total Medical Submitted Charge Amount |
862438 |
Total Medical Medicare Allowed Amount |
346972.36 |
Total Medical Medicare Payment Amount |
262616.58 |
Total Medical Medicare Standardized Payment Amount |
261702.54 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
662 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
811 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
829 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.346 |