National Provider Identifier [NPI]: |
1326239203 |
Last Name Of The Provider |
YOCKEY |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14547 BRUCE B DOWNS BLVD |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336132709 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
2155 |
Number Of Medicare Beneficiaries |
609 |
Total Submitted Charge Amount |
320027.02 |
Total Medicare Allowed Amount |
171188.87 |
Total Medicare Payment Amount |
128259.82 |
Total Medicare Standardized Payment Amount |
128777 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
45 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
20581.02 |
Total Drug Medicare AllowedAmount |
6956.51 |
Total Drug Medicare PaymentAmount |
5453.93 |
Total Drug Medicare Standardized Payment Amount |
5453.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
2110 |
Number Of Medicare Beneficiaries With Medical Services |
609 |
Total Medical Submitted Charge Amount |
299446 |
Total Medical Medicare Allowed Amount |
164232.36 |
Total Medical Medicare Payment Amount |
122805.89 |
Total Medical Medicare Standardized Payment Amount |
123323.07 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
423 |
Number Of Non Hispanic White Beneficiaries |
533 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
554 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2861 |