National Provider Identifier [NPI]: |
1609829456 |
Last Name Of The Provider |
MILLAN |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1702 OSCEOLA STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
32204 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
5908 |
Number Of Medicare Beneficiaries |
1079 |
Total Submitted Charge Amount |
491926.98 |
Total Medicare Allowed Amount |
440876.66 |
Total Medicare Payment Amount |
330859.77 |
Total Medicare Standardized Payment Amount |
334968.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
600 |
Number Of Medicare Beneficiaries With Drug Services |
471 |
Total Drug Submitted ChargeAmount |
25190 |
Total Drug Medicare AllowedAmount |
18154.95 |
Total Drug Medicare PaymentAmount |
17643.47 |
Total Drug Medicare Standardized Payment Amount |
17643.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
5308 |
Number Of Medicare Beneficiaries With Medical Services |
1079 |
Total Medical Submitted Charge Amount |
466736.98 |
Total Medical Medicare Allowed Amount |
422721.71 |
Total Medical Medicare Payment Amount |
313216.3 |
Total Medical Medicare Standardized Payment Amount |
317324.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
363 |
Number Of Beneficiaries Age 75 to 84 |
384 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
648 |
Number Of Male Beneficiaries |
431 |
Number Of Non Hispanic White Beneficiaries |
895 |
Number Of Black or African American Beneficiaries |
144 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
891 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5592 |