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 |