National Provider Identifier [NPI]: |
1881699718 |
Last Name Of The Provider |
BAKER |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 AVENUE K SE |
Street Address 2 Of The Provider |
STE 11 |
City Of The Provider |
WINTER HAVEN |
Zip Code Of The Provider |
338804145 |
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 |
182 |
Number Of Services |
24544 |
Number Of Medicare Beneficiaries |
1799 |
Total Submitted Charge Amount |
1379286 |
Total Medicare Allowed Amount |
800757.54 |
Total Medicare Payment Amount |
609345.4 |
Total Medicare Standardized Payment Amount |
604804.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
27 |
Number Of Drug Services |
5765 |
Number Of Medicare Beneficiaries With Drug Services |
525 |
Total Drug Submitted ChargeAmount |
170463 |
Total Drug Medicare AllowedAmount |
91823.41 |
Total Drug Medicare PaymentAmount |
73997.21 |
Total Drug Medicare Standardized Payment Amount |
73997.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
155 |
Number Of Medical Services |
18779 |
Number Of Medicare Beneficiaries With Medical Services |
1799 |
Total Medical Submitted Charge Amount |
1208823 |
Total Medical Medicare Allowed Amount |
708934.13 |
Total Medical Medicare Payment Amount |
535348.19 |
Total Medical Medicare Standardized Payment Amount |
530807.7 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
618 |
Number Of Beneficiaries Age 75 to 84 |
634 |
Number Of Beneficiaries Age Greater 84 |
382 |
Number Of Female Beneficiaries |
1028 |
Number Of Male Beneficiaries |
771 |
Number Of Non Hispanic White Beneficiaries |
1630 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1542 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5188 |