Medicare Facts for Dr. John C. Whelton, MD


National Provider Identifier [NPI]: 1114970894
Last Name Of The Provider WHELTON
First Name Of The Provider JOHN
Middle Initial Of The Provider C
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1411 N FLAGLER DRIVE
Street Address 2 Of The Provider SUITE 3100
City Of The Provider WEST PALM BEACH
Zip Code Of The Provider 334013414
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 53
Number Of Services 13480
Number Of Medicare Beneficiaries 645
Total Submitted Charge Amount 680360.71
Total Medicare Allowed Amount 650019.03
Total Medicare Payment Amount 492492.32
Total Medicare Standardized Payment Amount 471618.01
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 5479
Number Of Medicare Beneficiaries With Drug Services 452
Total Drug Submitted ChargeAmount 70135.96
Total Drug Medicare AllowedAmount 68313.79
Total Drug Medicare PaymentAmount 53681.55
Total Drug Medicare Standardized Payment Amount 53681.55
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 45
Number Of Medical Services 8001
Number Of Medicare Beneficiaries With Medical Services 645
Total Medical Submitted Charge Amount 610224.75
Total Medical Medicare Allowed Amount 581705.24
Total Medical Medicare Payment Amount 438810.77
Total Medical Medicare Standardized Payment Amount 417936.46
Average Age Of Beneficiaries 80
Number Of Beneficiaries Age Less65 14
Number Of Beneficiaries Age 65 to 74 163
Number Of Beneficiaries Age 75 to 84 260
Number Of Beneficiaries Age Greater 84 208
Number Of Female Beneficiaries 421
Number Of Male Beneficiaries 224
Number Of Non Hispanic White Beneficiaries 604
Number Of Black or African American Beneficiaries 16
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 13
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 629
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 6
Percent Of With Cancer 14
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 19
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 56
Percent Of With Osteoporosis 23
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.334

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