National Provider Identifier [NPI]: |
1417922428 |
Last Name Of The Provider |
BORDEN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
507 DEL PRADO BLVD S |
Street Address 2 Of The Provider |
|
City Of The Provider |
CAPE CORAL |
Zip Code Of The Provider |
339902618 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
14083 |
Number Of Medicare Beneficiaries |
1344 |
Total Submitted Charge Amount |
1062070.32 |
Total Medicare Allowed Amount |
450141.28 |
Total Medicare Payment Amount |
334707.21 |
Total Medicare Standardized Payment Amount |
323584.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
8991 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
58113.15 |
Total Drug Medicare AllowedAmount |
56860.69 |
Total Drug Medicare PaymentAmount |
44041.01 |
Total Drug Medicare Standardized Payment Amount |
44041.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
5092 |
Number Of Medicare Beneficiaries With Medical Services |
1344 |
Total Medical Submitted Charge Amount |
1003957.17 |
Total Medical Medicare Allowed Amount |
393280.59 |
Total Medical Medicare Payment Amount |
290666.2 |
Total Medical Medicare Standardized Payment Amount |
279543.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
440 |
Number Of Beneficiaries Age 75 to 84 |
552 |
Number Of Beneficiaries Age Greater 84 |
265 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
1021 |
Number Of Non Hispanic White Beneficiaries |
1260 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4589 |