Medicare Facts for Dr. Constantine A. Toumbis, MD


National Provider Identifier [NPI]: 1386781409
Last Name Of The Provider TOUMBIS
First Name Of The Provider CONSTANTINE
Middle Initial Of The Provider A
Credentials Of The Provider MD, PHD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 950 N AVALON WAY
Street Address 2 Of The Provider
City Of The Provider LECANTO
Zip Code Of The Provider 344616004
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 118
Number Of Services 9156
Number Of Medicare Beneficiaries 2323
Total Submitted Charge Amount 4120700.6
Total Medicare Allowed Amount 1725927.65
Total Medicare Payment Amount 1326997.82
Total Medicare Standardized Payment Amount 1205224.25
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 263
Number Of Medicare Beneficiaries With Drug Services 191
Total Drug Submitted ChargeAmount 39933
Total Drug Medicare AllowedAmount 11662.85
Total Drug Medicare PaymentAmount 8980.36
Total Drug Medicare Standardized Payment Amount 8980.36
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 114
Number Of Medical Services 8893
Number Of Medicare Beneficiaries With Medical Services 2323
Total Medical Submitted Charge Amount 4080767.6
Total Medical Medicare Allowed Amount 1714264.8
Total Medical Medicare Payment Amount 1318017.46
Total Medical Medicare Standardized Payment Amount 1196243.89
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 206
Number Of Beneficiaries Age 65 to 74 1074
Number Of Beneficiaries Age 75 to 84 806
Number Of Beneficiaries Age Greater 84 237
Number Of Female Beneficiaries 1342
Number Of Male Beneficiaries 981
Number Of Non Hispanic White Beneficiaries 2220
Number Of Black or African American Beneficiaries 26
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 33
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 33
Number Of Beneficiaries With Medicare Only Entitlement 2105
Number Of Beneficiaries With Medicare Medicaid Entitlement 218
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 7
Percent Of With Cancer 11
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 26
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 15
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 1.1659

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