National Provider Identifier [NPI]: |
1053471987 |
Last Name Of The Provider |
EMAS |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4085 UNIVERSITY BLVD SOUTH |
Street Address 2 Of The Provider |
# 3 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
32216 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
13346 |
Number Of Medicare Beneficiaries |
514 |
Total Submitted Charge Amount |
1165028.01 |
Total Medicare Allowed Amount |
325092.98 |
Total Medicare Payment Amount |
244737.39 |
Total Medicare Standardized Payment Amount |
254029.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
10600 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
148400 |
Total Drug Medicare AllowedAmount |
58290.4 |
Total Drug Medicare PaymentAmount |
45699.77 |
Total Drug Medicare Standardized Payment Amount |
45699.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2746 |
Number Of Medicare Beneficiaries With Medical Services |
514 |
Total Medical Submitted Charge Amount |
1016628.01 |
Total Medical Medicare Allowed Amount |
266802.58 |
Total Medical Medicare Payment Amount |
199037.62 |
Total Medical Medicare Standardized Payment Amount |
208329.4 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
329 |
Number Of Male Beneficiaries |
185 |
Number Of Non Hispanic White Beneficiaries |
389 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
427 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.286 |