National Provider Identifier [NPI]: |
1134114226 |
Last Name Of The Provider |
HOSTIG |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2964 N STATE ROAD 7 |
Street Address 2 Of The Provider |
STE 110 |
City Of The Provider |
MARGATE |
Zip Code Of The Provider |
330635755 |
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 |
50 |
Number Of Services |
5266 |
Number Of Medicare Beneficiaries |
1349 |
Total Submitted Charge Amount |
1177817.12 |
Total Medicare Allowed Amount |
449005.21 |
Total Medicare Payment Amount |
338375.07 |
Total Medicare Standardized Payment Amount |
326363.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
202 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
31597 |
Total Drug Medicare AllowedAmount |
10657.86 |
Total Drug Medicare PaymentAmount |
8358.09 |
Total Drug Medicare Standardized Payment Amount |
8358.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
5064 |
Number Of Medicare Beneficiaries With Medical Services |
1349 |
Total Medical Submitted Charge Amount |
1146220.12 |
Total Medical Medicare Allowed Amount |
438347.35 |
Total Medical Medicare Payment Amount |
330016.98 |
Total Medical Medicare Standardized Payment Amount |
318004.95 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
407 |
Number Of Beneficiaries Age 75 to 84 |
367 |
Number Of Beneficiaries Age Greater 84 |
442 |
Number Of Female Beneficiaries |
776 |
Number Of Male Beneficiaries |
573 |
Number Of Non Hispanic White Beneficiaries |
1091 |
Number Of Black or African American Beneficiaries |
114 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
101 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1090 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
259 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9629 |