National Provider Identifier [NPI]: |
1548268170 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
LEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E ROLLINS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031248 |
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 |
93 |
Number Of Services |
5768 |
Number Of Medicare Beneficiaries |
4392 |
Total Submitted Charge Amount |
472671.7 |
Total Medicare Allowed Amount |
158658.3 |
Total Medicare Payment Amount |
119912.1 |
Total Medicare Standardized Payment Amount |
120668.49 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
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Total Drug Medicare AllowedAmount |
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Total Drug Medicare PaymentAmount |
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Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
844 |
Number Of Beneficiaries Age 65 to 74 |
1251 |
Number Of Beneficiaries Age 75 to 84 |
1285 |
Number Of Beneficiaries Age Greater 84 |
1012 |
Number Of Female Beneficiaries |
2544 |
Number Of Male Beneficiaries |
1848 |
Number Of Non Hispanic White Beneficiaries |
3072 |
Number Of Black or African American Beneficiaries |
521 |
Number Of AsianPacific Islander Beneficiaries |
71 |
Number Of Hispanic Beneficiaries |
670 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2998 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1394 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3495 |