National Provider Identifier [NPI]: |
1831136191 |
Last Name Of The Provider |
TOCCI |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1673 MASON AVE |
Street Address 2 Of The Provider |
SUITE# 305 |
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
321175515 |
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 |
190 |
Number Of Services |
25858.5 |
Number Of Medicare Beneficiaries |
3904 |
Total Submitted Charge Amount |
1762881.52 |
Total Medicare Allowed Amount |
565914.1 |
Total Medicare Payment Amount |
458751.81 |
Total Medicare Standardized Payment Amount |
471720.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
19475.5 |
Number Of Medicare Beneficiaries With Drug Services |
298 |
Total Drug Submitted ChargeAmount |
26592.8 |
Total Drug Medicare AllowedAmount |
5323.24 |
Total Drug Medicare PaymentAmount |
4135.53 |
Total Drug Medicare Standardized Payment Amount |
4135.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
182 |
Number Of Medical Services |
6383 |
Number Of Medicare Beneficiaries With Medical Services |
3901 |
Total Medical Submitted Charge Amount |
1736288.72 |
Total Medical Medicare Allowed Amount |
560590.86 |
Total Medical Medicare Payment Amount |
454616.28 |
Total Medical Medicare Standardized Payment Amount |
467584.92 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
534 |
Number Of Beneficiaries Age 65 to 74 |
1754 |
Number Of Beneficiaries Age 75 to 84 |
1140 |
Number Of Beneficiaries Age Greater 84 |
476 |
Number Of Female Beneficiaries |
2741 |
Number Of Male Beneficiaries |
1163 |
Number Of Non Hispanic White Beneficiaries |
3444 |
Number Of Black or African American Beneficiaries |
281 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
3263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
641 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.306 |