National Provider Identifier [NPI]: |
1144276387 |
Last Name Of The Provider |
KILLIUS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 PHILLIPS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TALLAHASSEE |
Zip Code Of The Provider |
323085304 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
227 |
Number Of Services |
8240 |
Number Of Medicare Beneficiaries |
2284 |
Total Submitted Charge Amount |
738433 |
Total Medicare Allowed Amount |
217271.37 |
Total Medicare Payment Amount |
162284.34 |
Total Medicare Standardized Payment Amount |
164111.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4673 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
6590 |
Total Drug Medicare AllowedAmount |
1300.71 |
Total Drug Medicare PaymentAmount |
948.68 |
Total Drug Medicare Standardized Payment Amount |
948.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
224 |
Number Of Medical Services |
3567 |
Number Of Medicare Beneficiaries With Medical Services |
2282 |
Total Medical Submitted Charge Amount |
731843 |
Total Medical Medicare Allowed Amount |
215970.66 |
Total Medical Medicare Payment Amount |
161335.66 |
Total Medical Medicare Standardized Payment Amount |
163163.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
487 |
Number Of Beneficiaries Age 65 to 74 |
722 |
Number Of Beneficiaries Age 75 to 84 |
663 |
Number Of Beneficiaries Age Greater 84 |
412 |
Number Of Female Beneficiaries |
1344 |
Number Of Male Beneficiaries |
940 |
Number Of Non Hispanic White Beneficiaries |
1585 |
Number Of Black or African American Beneficiaries |
629 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1485 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
799 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7594 |