National Provider Identifier [NPI]: |
1487658472 |
Last Name Of The Provider |
JOINER |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
61 MEMORIAL MEDICAL PKWY |
Street Address 2 Of The Provider |
SUITE 2811 |
City Of The Provider |
PALM COAST |
Zip Code Of The Provider |
321645981 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
3849 |
Number Of Medicare Beneficiaries |
1153 |
Total Submitted Charge Amount |
748026 |
Total Medicare Allowed Amount |
339753.63 |
Total Medicare Payment Amount |
260053.9 |
Total Medicare Standardized Payment Amount |
256890.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3849 |
Number Of Medicare Beneficiaries With Medical Services |
1153 |
Total Medical Submitted Charge Amount |
748026 |
Total Medical Medicare Allowed Amount |
339753.63 |
Total Medical Medicare Payment Amount |
260053.9 |
Total Medical Medicare Standardized Payment Amount |
256890.46 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
401 |
Number Of Beneficiaries Age 75 to 84 |
365 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
594 |
Number Of Male Beneficiaries |
559 |
Number Of Non Hispanic White Beneficiaries |
940 |
Number Of Black or African American Beneficiaries |
127 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
936 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7078 |