National Provider Identifier [NPI]: |
1609853613 |
Last Name Of The Provider |
GARNER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4724 N DAVIS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325032339 |
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 |
68 |
Number Of Services |
5263 |
Number Of Medicare Beneficiaries |
1118 |
Total Submitted Charge Amount |
1052878.5 |
Total Medicare Allowed Amount |
282261.99 |
Total Medicare Payment Amount |
208061.52 |
Total Medicare Standardized Payment Amount |
209491.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
727 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
310656 |
Total Drug Medicare AllowedAmount |
63160.57 |
Total Drug Medicare PaymentAmount |
49113.62 |
Total Drug Medicare Standardized Payment Amount |
49113.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4536 |
Number Of Medicare Beneficiaries With Medical Services |
1118 |
Total Medical Submitted Charge Amount |
742222.5 |
Total Medical Medicare Allowed Amount |
219101.42 |
Total Medical Medicare Payment Amount |
158947.9 |
Total Medical Medicare Standardized Payment Amount |
160377.82 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
455 |
Number Of Beneficiaries Age 75 to 84 |
417 |
Number Of Beneficiaries Age Greater 84 |
191 |
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
911 |
Number Of Non Hispanic White Beneficiaries |
1005 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1060 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.195 |