National Provider Identifier [NPI]: |
1457345928 |
Last Name Of The Provider |
PARKER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 PHYSICIANS DR |
Street Address 2 Of The Provider |
WILMINGTON HEALTH |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
284017356 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
13575 |
Number Of Medicare Beneficiaries |
1106 |
Total Submitted Charge Amount |
1121887 |
Total Medicare Allowed Amount |
407217.8 |
Total Medicare Payment Amount |
326785.82 |
Total Medicare Standardized Payment Amount |
338169.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
3569 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
125498 |
Total Drug Medicare AllowedAmount |
50982.94 |
Total Drug Medicare PaymentAmount |
39572.39 |
Total Drug Medicare Standardized Payment Amount |
39572.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
10006 |
Number Of Medicare Beneficiaries With Medical Services |
1106 |
Total Medical Submitted Charge Amount |
996389 |
Total Medical Medicare Allowed Amount |
356234.86 |
Total Medical Medicare Payment Amount |
287213.43 |
Total Medical Medicare Standardized Payment Amount |
298597.22 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
591 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
721 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
915 |
Number Of Black or African American Beneficiaries |
163 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
981 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2873 |