National Provider Identifier [NPI]: |
1912978545 |
Last Name Of The Provider |
BARBOUR |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
341 BULLARD PKWY STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
TEMPLE TERRACE |
Zip Code Of The Provider |
336175544 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
110807 |
Number Of Medicare Beneficiaries |
503 |
Total Submitted Charge Amount |
1029262.36 |
Total Medicare Allowed Amount |
508702.88 |
Total Medicare Payment Amount |
391588.21 |
Total Medicare Standardized Payment Amount |
396578.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
106364 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
291852.36 |
Total Drug Medicare AllowedAmount |
111788.78 |
Total Drug Medicare PaymentAmount |
87647.21 |
Total Drug Medicare Standardized Payment Amount |
87647.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
4443 |
Number Of Medicare Beneficiaries With Medical Services |
503 |
Total Medical Submitted Charge Amount |
737410 |
Total Medical Medicare Allowed Amount |
396914.1 |
Total Medical Medicare Payment Amount |
303941 |
Total Medical Medicare Standardized Payment Amount |
308931.77 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
285 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
300 |
Number Of Black or African American Beneficiaries |
126 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
3.2585 |