National Provider Identifier [NPI]: |
1750382289 |
Last Name Of The Provider |
LOMBARDO |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
709 S. HARBOR CITY BOULEVARD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329011936 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
2947 |
Number Of Medicare Beneficiaries |
542 |
Total Submitted Charge Amount |
2100729.66 |
Total Medicare Allowed Amount |
453710.02 |
Total Medicare Payment Amount |
345252.46 |
Total Medicare Standardized Payment Amount |
344867.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
385 |
Number Of Medicare Beneficiaries With Drug Services |
191 |
Total Drug Submitted ChargeAmount |
38982.14 |
Total Drug Medicare AllowedAmount |
25435.69 |
Total Drug Medicare PaymentAmount |
19896.07 |
Total Drug Medicare Standardized Payment Amount |
19896.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
2562 |
Number Of Medicare Beneficiaries With Medical Services |
542 |
Total Medical Submitted Charge Amount |
2061747.52 |
Total Medical Medicare Allowed Amount |
428274.33 |
Total Medical Medicare Payment Amount |
325356.39 |
Total Medical Medicare Standardized Payment Amount |
324971.7 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
318 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
485 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1645 |