National Provider Identifier [NPI]: |
1952390452 |
Last Name Of The Provider |
ISA |
First Name Of The Provider |
ARNALDO |
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 |
301 N MAITLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MAITLAND |
Zip Code Of The Provider |
327514723 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
23469 |
Number Of Medicare Beneficiaries |
1225 |
Total Submitted Charge Amount |
1232516 |
Total Medicare Allowed Amount |
531944.55 |
Total Medicare Payment Amount |
396836.67 |
Total Medicare Standardized Payment Amount |
397854.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
19695 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
209123 |
Total Drug Medicare AllowedAmount |
119097.97 |
Total Drug Medicare PaymentAmount |
93311.54 |
Total Drug Medicare Standardized Payment Amount |
93311.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3774 |
Number Of Medicare Beneficiaries With Medical Services |
1225 |
Total Medical Submitted Charge Amount |
1023393 |
Total Medical Medicare Allowed Amount |
412846.58 |
Total Medical Medicare Payment Amount |
303525.13 |
Total Medical Medicare Standardized Payment Amount |
304543.01 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
427 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
667 |
Number Of Male Beneficiaries |
558 |
Number Of Non Hispanic White Beneficiaries |
977 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
141 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1060 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.5406 |