National Provider Identifier [NPI]: |
1194765495 |
Last Name Of The Provider |
PARR |
First Name Of The Provider |
GREGORY |
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 |
300 CLYDE MORRIS BLVD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
ORMOND BEACH |
Zip Code Of The Provider |
321745956 |
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 |
136 |
Number Of Services |
38019 |
Number Of Medicare Beneficiaries |
1667 |
Total Submitted Charge Amount |
2312949.95 |
Total Medicare Allowed Amount |
782327.09 |
Total Medicare Payment Amount |
600563.3 |
Total Medicare Standardized Payment Amount |
607001.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
21682 |
Number Of Medicare Beneficiaries With Drug Services |
320 |
Total Drug Submitted ChargeAmount |
298883.95 |
Total Drug Medicare AllowedAmount |
135905.41 |
Total Drug Medicare PaymentAmount |
106317.02 |
Total Drug Medicare Standardized Payment Amount |
106317.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
16337 |
Number Of Medicare Beneficiaries With Medical Services |
1667 |
Total Medical Submitted Charge Amount |
2014066 |
Total Medical Medicare Allowed Amount |
646421.68 |
Total Medical Medicare Payment Amount |
494246.28 |
Total Medical Medicare Standardized Payment Amount |
500684.05 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
647 |
Number Of Beneficiaries Age 75 to 84 |
683 |
Number Of Beneficiaries Age Greater 84 |
280 |
Number Of Female Beneficiaries |
541 |
Number Of Male Beneficiaries |
1126 |
Number Of Non Hispanic White Beneficiaries |
1578 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1625 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1783 |