National Provider Identifier [NPI]: |
1194778852 |
Last Name Of The Provider |
HANFLINK |
First Name Of The Provider |
NATHAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2785 S BAY ST STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUSTIS |
Zip Code Of The Provider |
327266591 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
7039 |
Number Of Medicare Beneficiaries |
464 |
Total Submitted Charge Amount |
945362 |
Total Medicare Allowed Amount |
499640.38 |
Total Medicare Payment Amount |
366403.1 |
Total Medicare Standardized Payment Amount |
370376.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2495 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
24950 |
Total Drug Medicare AllowedAmount |
14271.1 |
Total Drug Medicare PaymentAmount |
11023.17 |
Total Drug Medicare Standardized Payment Amount |
11023.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
4544 |
Number Of Medicare Beneficiaries With Medical Services |
464 |
Total Medical Submitted Charge Amount |
920412 |
Total Medical Medicare Allowed Amount |
485369.28 |
Total Medical Medicare Payment Amount |
355379.93 |
Total Medical Medicare Standardized Payment Amount |
359353.63 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
282 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
437 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
303 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4713 |