National Provider Identifier [NPI]: |
1023123353 |
Last Name Of The Provider |
MAKSI |
First Name Of The Provider |
JOSHUA |
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 |
415 S 28TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394017246 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
60205 |
Number Of Medicare Beneficiaries |
770 |
Total Submitted Charge Amount |
1473174 |
Total Medicare Allowed Amount |
697982.68 |
Total Medicare Payment Amount |
526053.44 |
Total Medicare Standardized Payment Amount |
544437.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
57050 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
932080 |
Total Drug Medicare AllowedAmount |
469984.21 |
Total Drug Medicare PaymentAmount |
358514.47 |
Total Drug Medicare Standardized Payment Amount |
358514.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
3155 |
Number Of Medicare Beneficiaries With Medical Services |
768 |
Total Medical Submitted Charge Amount |
541094 |
Total Medical Medicare Allowed Amount |
227998.47 |
Total Medical Medicare Payment Amount |
167538.97 |
Total Medical Medicare Standardized Payment Amount |
185923.36 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
457 |
Number Of Male Beneficiaries |
313 |
Number Of Non Hispanic White Beneficiaries |
599 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
506 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
1.6747 |