National Provider Identifier [NPI]: |
1649200023 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 3RD AVE W |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342058626 |
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 |
131 |
Number Of Services |
12981 |
Number Of Medicare Beneficiaries |
991 |
Total Submitted Charge Amount |
1651437.03 |
Total Medicare Allowed Amount |
521247.78 |
Total Medicare Payment Amount |
398242.95 |
Total Medicare Standardized Payment Amount |
399880.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
7361 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
456408.18 |
Total Drug Medicare AllowedAmount |
152972.71 |
Total Drug Medicare PaymentAmount |
119658.3 |
Total Drug Medicare Standardized Payment Amount |
119658.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
5620 |
Number Of Medicare Beneficiaries With Medical Services |
991 |
Total Medical Submitted Charge Amount |
1195028.85 |
Total Medical Medicare Allowed Amount |
368275.07 |
Total Medical Medicare Payment Amount |
278584.65 |
Total Medical Medicare Standardized Payment Amount |
280222.48 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
352 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
285 |
Number Of Male Beneficiaries |
706 |
Number Of Non Hispanic White Beneficiaries |
911 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
904 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4931 |