National Provider Identifier [NPI]: |
1659474641 |
Last Name Of The Provider |
MARUNOWSKA |
First Name Of The Provider |
ARLETTA |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
MD, FACC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
142 JFK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTIS |
Zip Code Of The Provider |
334621159 |
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 |
43 |
Number Of Services |
2108 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
421667.91 |
Total Medicare Allowed Amount |
150505.24 |
Total Medicare Payment Amount |
115107.13 |
Total Medicare Standardized Payment Amount |
111114.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
214 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
25957 |
Total Drug Medicare AllowedAmount |
8690.45 |
Total Drug Medicare PaymentAmount |
6813.02 |
Total Drug Medicare Standardized Payment Amount |
6813.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1894 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
395710.91 |
Total Medical Medicare Allowed Amount |
141814.79 |
Total Medical Medicare Payment Amount |
108294.11 |
Total Medical Medicare Standardized Payment Amount |
104301.26 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
216 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
256 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
315 |
Number Of Non Hispanic White Beneficiaries |
602 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
560 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
252 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.169 |