National Provider Identifier [NPI]: |
1447405972 |
Last Name Of The Provider |
ATKINSON |
First Name Of The Provider |
MONICA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2301 WOODLYNNE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODLYNNE |
Zip Code Of The Provider |
081072242 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1018 |
Number Of Medicare Beneficiaries |
396 |
Total Submitted Charge Amount |
112400 |
Total Medicare Allowed Amount |
75661.21 |
Total Medicare Payment Amount |
52361.24 |
Total Medicare Standardized Payment Amount |
48894.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
2268 |
Total Drug Medicare AllowedAmount |
1024.42 |
Total Drug Medicare PaymentAmount |
996.78 |
Total Drug Medicare Standardized Payment Amount |
996.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
965 |
Number Of Medicare Beneficiaries With Medical Services |
396 |
Total Medical Submitted Charge Amount |
110132 |
Total Medical Medicare Allowed Amount |
74636.79 |
Total Medical Medicare Payment Amount |
51364.46 |
Total Medical Medicare Standardized Payment Amount |
47897.87 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
197 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
61 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
206 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.251 |