National Provider Identifier [NPI]: |
1285742007 |
Last Name Of The Provider |
BOND |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1120 CITRUS TOWER BLVD STE 330 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLERMONT |
Zip Code Of The Provider |
347111945 |
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 |
97 |
Number Of Services |
18802 |
Number Of Medicare Beneficiaries |
3321 |
Total Submitted Charge Amount |
2738370 |
Total Medicare Allowed Amount |
1400364.54 |
Total Medicare Payment Amount |
1048819.76 |
Total Medicare Standardized Payment Amount |
1063335.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
148 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
27350 |
Total Drug Medicare AllowedAmount |
22741.09 |
Total Drug Medicare PaymentAmount |
17611.08 |
Total Drug Medicare Standardized Payment Amount |
17611.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
18654 |
Number Of Medicare Beneficiaries With Medical Services |
3321 |
Total Medical Submitted Charge Amount |
2711020 |
Total Medical Medicare Allowed Amount |
1377623.45 |
Total Medical Medicare Payment Amount |
1031208.68 |
Total Medical Medicare Standardized Payment Amount |
1045724.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
2178 |
Number Of Beneficiaries Age 75 to 84 |
859 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
1538 |
Number Of Male Beneficiaries |
1783 |
Number Of Non Hispanic White Beneficiaries |
3211 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
61 |
Number Of Beneficiaries With Medicare Only Entitlement |
3260 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9094 |