National Provider Identifier [NPI]: |
1356340004 |
Last Name Of The Provider |
HOBAN |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 MANATEE AVE W |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342058604 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
5303 |
Number Of Medicare Beneficiaries |
631 |
Total Submitted Charge Amount |
1113393 |
Total Medicare Allowed Amount |
423679.11 |
Total Medicare Payment Amount |
319752.44 |
Total Medicare Standardized Payment Amount |
295146.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
1110 |
Total Drug Medicare AllowedAmount |
141.82 |
Total Drug Medicare PaymentAmount |
99.06 |
Total Drug Medicare Standardized Payment Amount |
99.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
5265 |
Number Of Medicare Beneficiaries With Medical Services |
631 |
Total Medical Submitted Charge Amount |
1112283 |
Total Medical Medicare Allowed Amount |
423537.29 |
Total Medical Medicare Payment Amount |
319653.38 |
Total Medical Medicare Standardized Payment Amount |
295047.74 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
246 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
360 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
588 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2438 |