| National Provider Identifier [NPI]: | 1710974977 |
| Last Name Of The Provider | FLIPSE |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4500 SAN PABLO RD S |
| Street Address 2 Of The Provider | |
| City Of The Provider | JACKSONVILLE |
| Zip Code Of The Provider | 322241865 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiac Electrophysiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 76 |
| Number Of Services | 7976 |
| Number Of Medicare Beneficiaries | 4834 |
| Total Submitted Charge Amount | 393145.52 |
| Total Medicare Allowed Amount | 311677.94 |
| Total Medicare Payment Amount | 230557.37 |
| Total Medicare Standardized Payment Amount | 247642 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 172 |
| Number Of Medicare Beneficiaries With Drug Services | 42 |
| Total Drug Submitted ChargeAmount | 9844.56 |
| Total Drug Medicare AllowedAmount | 8103.14 |
| Total Drug Medicare PaymentAmount | 6106.59 |
| Total Drug Medicare Standardized Payment Amount | 6106.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 73 |
| Number Of Medical Services | 7804 |
| Number Of Medicare Beneficiaries With Medical Services | 4831 |
| Total Medical Submitted Charge Amount | 383300.96 |
| Total Medical Medicare Allowed Amount | 303574.8 |
| Total Medical Medicare Payment Amount | 224450.78 |
| Total Medical Medicare Standardized Payment Amount | 241535.41 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 517 |
| Number Of Beneficiaries Age 65 to 74 | 1953 |
| Number Of Beneficiaries Age 75 to 84 | 1627 |
| Number Of Beneficiaries Age Greater 84 | 737 |
| Number Of Female Beneficiaries | 2191 |
| Number Of Male Beneficiaries | 2643 |
| Number Of Non Hispanic White Beneficiaries | 4287 |
| Number Of Black or African American Beneficiaries | 301 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 116 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 74 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4534 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 300 |
| Percent Of With Atrial Fibrillation | 31 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.7047 |