National Provider Identifier [NPI]: |
1467468967 |
Last Name Of The Provider |
BECK |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3627 UNIVERSITY BLVD S STE 210 |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322164256 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
7054 |
Number Of Medicare Beneficiaries |
1152 |
Total Submitted Charge Amount |
612512 |
Total Medicare Allowed Amount |
338902.59 |
Total Medicare Payment Amount |
248420.38 |
Total Medicare Standardized Payment Amount |
241035.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1064 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
5792 |
Total Drug Medicare AllowedAmount |
3826.18 |
Total Drug Medicare PaymentAmount |
2961.74 |
Total Drug Medicare Standardized Payment Amount |
2961.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
5990 |
Number Of Medicare Beneficiaries With Medical Services |
1152 |
Total Medical Submitted Charge Amount |
606720 |
Total Medical Medicare Allowed Amount |
335076.41 |
Total Medical Medicare Payment Amount |
245458.64 |
Total Medical Medicare Standardized Payment Amount |
238074.07 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
409 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
690 |
Number Of Male Beneficiaries |
462 |
Number Of Non Hispanic White Beneficiaries |
975 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1093 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2503 |