National Provider Identifier [NPI]: |
1225014707 |
Last Name Of The Provider |
GRIFFIN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 WILLIS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
755685870 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
10539 |
Number Of Medicare Beneficiaries |
752 |
Total Submitted Charge Amount |
409991 |
Total Medicare Allowed Amount |
274186.41 |
Total Medicare Payment Amount |
181291.21 |
Total Medicare Standardized Payment Amount |
196794.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
3516 |
Number Of Medicare Beneficiaries With Drug Services |
572 |
Total Drug Submitted ChargeAmount |
59928 |
Total Drug Medicare AllowedAmount |
19165.93 |
Total Drug Medicare PaymentAmount |
14979.96 |
Total Drug Medicare Standardized Payment Amount |
14979.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
7023 |
Number Of Medicare Beneficiaries With Medical Services |
752 |
Total Medical Submitted Charge Amount |
350063 |
Total Medical Medicare Allowed Amount |
255020.48 |
Total Medical Medicare Payment Amount |
166311.25 |
Total Medical Medicare Standardized Payment Amount |
181814.85 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
454 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
684 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
621 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9622 |