National Provider Identifier [NPI]: |
1346243136 |
Last Name Of The Provider |
WILLIAMS |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
511 MEDICAL PLAZA DR |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347487326 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
151 |
Number Of Services |
28155 |
Number Of Medicare Beneficiaries |
1778 |
Total Submitted Charge Amount |
2914859.14 |
Total Medicare Allowed Amount |
1669531.96 |
Total Medicare Payment Amount |
1294844.85 |
Total Medicare Standardized Payment Amount |
1308594.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
17317 |
Number Of Medicare Beneficiaries With Drug Services |
281 |
Total Drug Submitted ChargeAmount |
66275.1 |
Total Drug Medicare AllowedAmount |
44753.12 |
Total Drug Medicare PaymentAmount |
35118.89 |
Total Drug Medicare Standardized Payment Amount |
35118.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
141 |
Number Of Medical Services |
10838 |
Number Of Medicare Beneficiaries With Medical Services |
1778 |
Total Medical Submitted Charge Amount |
2848584.04 |
Total Medical Medicare Allowed Amount |
1624778.84 |
Total Medical Medicare Payment Amount |
1259725.96 |
Total Medical Medicare Standardized Payment Amount |
1273475.77 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
587 |
Number Of Beneficiaries Age 75 to 84 |
759 |
Number Of Beneficiaries Age Greater 84 |
363 |
Number Of Female Beneficiaries |
846 |
Number Of Male Beneficiaries |
932 |
Number Of Non Hispanic White Beneficiaries |
1707 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1660 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.701 |