National Provider Identifier [NPI]: |
1730169848 |
Last Name Of The Provider |
CAVE |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1005 MAR WALT DRIVE |
Street Address 2 Of The Provider |
BUSINESS OFFICE |
City Of The Provider |
FORT WALTON BEACH |
Zip Code Of The Provider |
325476796 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
2390 |
Number Of Medicare Beneficiaries |
503 |
Total Submitted Charge Amount |
326073 |
Total Medicare Allowed Amount |
165518.45 |
Total Medicare Payment Amount |
113524.6 |
Total Medicare Standardized Payment Amount |
116045.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
635 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
14752 |
Total Drug Medicare AllowedAmount |
7727.99 |
Total Drug Medicare PaymentAmount |
6203.41 |
Total Drug Medicare Standardized Payment Amount |
6203.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
1755 |
Number Of Medicare Beneficiaries With Medical Services |
503 |
Total Medical Submitted Charge Amount |
311321 |
Total Medical Medicare Allowed Amount |
157790.46 |
Total Medical Medicare Payment Amount |
107321.19 |
Total Medical Medicare Standardized Payment Amount |
109842.22 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
251 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
456 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8519 |