National Provider Identifier [NPI]: |
1588638159 |
Last Name Of The Provider |
MCPOLAND |
First Name Of The Provider |
PATRIC |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4475 MEDICAL CENTER WAY |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334073240 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3804 |
Number Of Medicare Beneficiaries |
962 |
Total Submitted Charge Amount |
312016.37 |
Total Medicare Allowed Amount |
274205.93 |
Total Medicare Payment Amount |
198739.6 |
Total Medicare Standardized Payment Amount |
187055.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
381 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
2150.08 |
Total Drug Medicare AllowedAmount |
1601.44 |
Total Drug Medicare PaymentAmount |
1207.88 |
Total Drug Medicare Standardized Payment Amount |
1207.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3423 |
Number Of Medicare Beneficiaries With Medical Services |
962 |
Total Medical Submitted Charge Amount |
309866.29 |
Total Medical Medicare Allowed Amount |
272604.49 |
Total Medical Medicare Payment Amount |
197531.72 |
Total Medical Medicare Standardized Payment Amount |
185847.55 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
480 |
Number Of Male Beneficiaries |
482 |
Number Of Non Hispanic White Beneficiaries |
900 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
939 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0364 |