National Provider Identifier [NPI]: |
1275883399 |
Last Name Of The Provider |
ATKINS |
First Name Of The Provider |
KATE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
410 VICTORY CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334362876 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
962 |
Number Of Medicare Beneficiaries |
674 |
Total Submitted Charge Amount |
160492 |
Total Medicare Allowed Amount |
70789.16 |
Total Medicare Payment Amount |
49285.85 |
Total Medicare Standardized Payment Amount |
56415.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1190 |
Total Drug Medicare AllowedAmount |
261.2 |
Total Drug Medicare PaymentAmount |
204.55 |
Total Drug Medicare Standardized Payment Amount |
204.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
924 |
Number Of Medicare Beneficiaries With Medical Services |
674 |
Total Medical Submitted Charge Amount |
159302 |
Total Medical Medicare Allowed Amount |
70527.96 |
Total Medical Medicare Payment Amount |
49081.3 |
Total Medical Medicare Standardized Payment Amount |
56211.05 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
426 |
Number Of Male Beneficiaries |
248 |
Number Of Non Hispanic White Beneficiaries |
654 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
659 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1212 |