National Provider Identifier [NPI]: |
1093750820 |
Last Name Of The Provider |
TONKIN |
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 |
1673 MASON AVE |
Street Address 2 Of The Provider |
SUITE# 305 |
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
321175515 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
317 |
Number Of Services |
31098.5 |
Number Of Medicare Beneficiaries |
1920 |
Total Submitted Charge Amount |
1250574.48 |
Total Medicare Allowed Amount |
361977.43 |
Total Medicare Payment Amount |
277556.03 |
Total Medicare Standardized Payment Amount |
283746.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
28219.5 |
Number Of Medicare Beneficiaries With Drug Services |
361 |
Total Drug Submitted ChargeAmount |
39893.31 |
Total Drug Medicare AllowedAmount |
6744.62 |
Total Drug Medicare PaymentAmount |
5210.14 |
Total Drug Medicare Standardized Payment Amount |
5210.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
306 |
Number Of Medical Services |
2879 |
Number Of Medicare Beneficiaries With Medical Services |
1916 |
Total Medical Submitted Charge Amount |
1210681.17 |
Total Medical Medicare Allowed Amount |
355232.81 |
Total Medical Medicare Payment Amount |
272345.89 |
Total Medical Medicare Standardized Payment Amount |
278536.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
310 |
Number Of Beneficiaries Age 65 to 74 |
715 |
Number Of Beneficiaries Age 75 to 84 |
607 |
Number Of Beneficiaries Age Greater 84 |
288 |
Number Of Female Beneficiaries |
1080 |
Number Of Male Beneficiaries |
840 |
Number Of Non Hispanic White Beneficiaries |
1698 |
Number Of Black or African American Beneficiaries |
138 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1528 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
392 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.593 |