National Provider Identifier [NPI]: |
1710977954 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
ERIK |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7408 RED BUG LAKE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OVIEDO |
Zip Code Of The Provider |
327657154 |
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 |
40 |
Number Of Services |
2113 |
Number Of Medicare Beneficiaries |
589 |
Total Submitted Charge Amount |
328378 |
Total Medicare Allowed Amount |
174102.12 |
Total Medicare Payment Amount |
123739.3 |
Total Medicare Standardized Payment Amount |
125492.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
233 |
Number Of Medicare Beneficiaries With Drug Services |
206 |
Total Drug Submitted ChargeAmount |
10914 |
Total Drug Medicare AllowedAmount |
7308.79 |
Total Drug Medicare PaymentAmount |
7066.16 |
Total Drug Medicare Standardized Payment Amount |
7066.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1880 |
Number Of Medicare Beneficiaries With Medical Services |
589 |
Total Medical Submitted Charge Amount |
317464 |
Total Medical Medicare Allowed Amount |
166793.33 |
Total Medical Medicare Payment Amount |
116673.14 |
Total Medical Medicare Standardized Payment Amount |
118426.77 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
519 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
559 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0941 |