National Provider Identifier [NPI]: |
1003904285 |
Last Name Of The Provider |
ARTHUR |
First Name Of The Provider |
ALLISON |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7335 W SAND LAKE RD STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328195539 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
5374 |
Number Of Medicare Beneficiaries |
910 |
Total Submitted Charge Amount |
315392.34 |
Total Medicare Allowed Amount |
291971.74 |
Total Medicare Payment Amount |
218108.93 |
Total Medicare Standardized Payment Amount |
212296.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
317 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
9750.7 |
Total Drug Medicare AllowedAmount |
9651.41 |
Total Drug Medicare PaymentAmount |
7382.99 |
Total Drug Medicare Standardized Payment Amount |
7382.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
5057 |
Number Of Medicare Beneficiaries With Medical Services |
910 |
Total Medical Submitted Charge Amount |
305641.64 |
Total Medical Medicare Allowed Amount |
282320.33 |
Total Medical Medicare Payment Amount |
210725.94 |
Total Medical Medicare Standardized Payment Amount |
204913.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
466 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
830 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
887 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0034 |