National Provider Identifier [NPI]: |
1679593917 |
Last Name Of The Provider |
TAPIA |
First Name Of The Provider |
ALEJANDRO |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 UNIVERSITY BLVD |
Street Address 2 Of The Provider |
STE 105 |
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334582778 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
2233 |
Number Of Medicare Beneficiaries |
273 |
Total Submitted Charge Amount |
937893 |
Total Medicare Allowed Amount |
193499.48 |
Total Medicare Payment Amount |
146315.04 |
Total Medicare Standardized Payment Amount |
134626.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
397 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
8450 |
Total Drug Medicare AllowedAmount |
583.13 |
Total Drug Medicare PaymentAmount |
453.77 |
Total Drug Medicare Standardized Payment Amount |
453.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
1836 |
Number Of Medicare Beneficiaries With Medical Services |
273 |
Total Medical Submitted Charge Amount |
929443 |
Total Medical Medicare Allowed Amount |
192916.35 |
Total Medical Medicare Payment Amount |
145861.27 |
Total Medical Medicare Standardized Payment Amount |
134172.68 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
153 |
Number Of Male Beneficiaries |
120 |
Number Of Non Hispanic White Beneficiaries |
206 |
Number Of Black or African American Beneficiaries |
49 |
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 |
195 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4505 |