National Provider Identifier [NPI]: |
1588777833 |
Last Name Of The Provider |
DOWNER |
First Name Of The Provider |
DONALD |
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 |
2023 PROFESSIONAL DR. |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORANGE PARK |
Zip Code Of The Provider |
320734468 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
6218 |
Number Of Medicare Beneficiaries |
1334 |
Total Submitted Charge Amount |
1495768 |
Total Medicare Allowed Amount |
895501.43 |
Total Medicare Payment Amount |
662087.13 |
Total Medicare Standardized Payment Amount |
676772.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
470 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
6173 |
Total Drug Medicare AllowedAmount |
2433.23 |
Total Drug Medicare PaymentAmount |
1900.44 |
Total Drug Medicare Standardized Payment Amount |
1900.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
5748 |
Number Of Medicare Beneficiaries With Medical Services |
1334 |
Total Medical Submitted Charge Amount |
1489595 |
Total Medical Medicare Allowed Amount |
893068.2 |
Total Medical Medicare Payment Amount |
660186.69 |
Total Medical Medicare Standardized Payment Amount |
674871.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
663 |
Number Of Beneficiaries Age 75 to 84 |
438 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
823 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
1174 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1229 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1351 |