National Provider Identifier [NPI]: |
1629044086 |
Last Name Of The Provider |
TONNER |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4741 NW 8TH AVE |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
32605 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
5925 |
Number Of Medicare Beneficiaries |
1406 |
Total Submitted Charge Amount |
732168 |
Total Medicare Allowed Amount |
479198.98 |
Total Medicare Payment Amount |
364051.45 |
Total Medicare Standardized Payment Amount |
368422.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
350 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
1610 |
Total Drug Medicare AllowedAmount |
755.71 |
Total Drug Medicare PaymentAmount |
729.52 |
Total Drug Medicare Standardized Payment Amount |
729.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5575 |
Number Of Medicare Beneficiaries With Medical Services |
1406 |
Total Medical Submitted Charge Amount |
730558 |
Total Medical Medicare Allowed Amount |
478443.27 |
Total Medical Medicare Payment Amount |
363321.93 |
Total Medical Medicare Standardized Payment Amount |
367693.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
547 |
Number Of Beneficiaries Age 75 to 84 |
519 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
790 |
Number Of Male Beneficiaries |
616 |
Number Of Non Hispanic White Beneficiaries |
1253 |
Number Of Black or African American Beneficiaries |
117 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
293 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
57 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6669 |