National Provider Identifier [NPI]: |
1568430064 |
Last Name Of The Provider |
KING |
First Name Of The Provider |
FRANCISCO |
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 |
106 IRVING ST NW |
Street Address 2 Of The Provider |
#4200 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200102927 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2356 |
Number Of Medicare Beneficiaries |
533 |
Total Submitted Charge Amount |
291376 |
Total Medicare Allowed Amount |
196033.14 |
Total Medicare Payment Amount |
140108.26 |
Total Medicare Standardized Payment Amount |
126128.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
248 |
Number Of Medicare Beneficiaries With Drug Services |
193 |
Total Drug Submitted ChargeAmount |
6532 |
Total Drug Medicare AllowedAmount |
4629.04 |
Total Drug Medicare PaymentAmount |
4518.01 |
Total Drug Medicare Standardized Payment Amount |
4518.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2108 |
Number Of Medicare Beneficiaries With Medical Services |
533 |
Total Medical Submitted Charge Amount |
284844 |
Total Medical Medicare Allowed Amount |
191404.1 |
Total Medical Medicare Payment Amount |
135590.25 |
Total Medical Medicare Standardized Payment Amount |
121610.71 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
503 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.033 |