National Provider Identifier [NPI]: |
1437141926 |
Last Name Of The Provider |
HAMILTON |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1441 RIDGE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341034211 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
206 |
Number Of Services |
54196 |
Number Of Medicare Beneficiaries |
5510 |
Total Submitted Charge Amount |
1758847.4 |
Total Medicare Allowed Amount |
1010369.77 |
Total Medicare Payment Amount |
785225.14 |
Total Medicare Standardized Payment Amount |
768059.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
45798 |
Number Of Medicare Beneficiaries With Drug Services |
496 |
Total Drug Submitted ChargeAmount |
28204.4 |
Total Drug Medicare AllowedAmount |
11254.68 |
Total Drug Medicare PaymentAmount |
8739.5 |
Total Drug Medicare Standardized Payment Amount |
8739.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
200 |
Number Of Medical Services |
8398 |
Number Of Medicare Beneficiaries With Medical Services |
5510 |
Total Medical Submitted Charge Amount |
1730643 |
Total Medical Medicare Allowed Amount |
999115.09 |
Total Medical Medicare Payment Amount |
776485.64 |
Total Medical Medicare Standardized Payment Amount |
759320.35 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
224 |
Number Of Beneficiaries Age 65 to 74 |
2506 |
Number Of Beneficiaries Age 75 to 84 |
2017 |
Number Of Beneficiaries Age Greater 84 |
763 |
Number Of Female Beneficiaries |
3329 |
Number Of Male Beneficiaries |
2181 |
Number Of Non Hispanic White Beneficiaries |
5110 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
252 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
65 |
Number Of Beneficiaries With Medicare Only Entitlement |
5145 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
365 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1568 |