National Provider Identifier [NPI]: |
1306815410 |
Last Name Of The Provider |
JOHNS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1295 ORANGE AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINTER PARK |
Zip Code Of The Provider |
32789 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
163 |
Number Of Services |
18366 |
Number Of Medicare Beneficiaries |
2257 |
Total Submitted Charge Amount |
1790588.71 |
Total Medicare Allowed Amount |
390137.45 |
Total Medicare Payment Amount |
294010.17 |
Total Medicare Standardized Payment Amount |
299854.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
15004 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
38137 |
Total Drug Medicare AllowedAmount |
4779.68 |
Total Drug Medicare PaymentAmount |
3691.59 |
Total Drug Medicare Standardized Payment Amount |
3691.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
157 |
Number Of Medical Services |
3362 |
Number Of Medicare Beneficiaries With Medical Services |
2256 |
Total Medical Submitted Charge Amount |
1752451.71 |
Total Medical Medicare Allowed Amount |
385357.77 |
Total Medical Medicare Payment Amount |
290318.58 |
Total Medical Medicare Standardized Payment Amount |
296163 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
246 |
Number Of Beneficiaries Age 65 to 74 |
1064 |
Number Of Beneficiaries Age 75 to 84 |
740 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
1255 |
Number Of Male Beneficiaries |
1002 |
Number Of Non Hispanic White Beneficiaries |
1816 |
Number Of Black or African American Beneficiaries |
199 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
167 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
2022 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
235 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2843 |