National Provider Identifier [NPI]: |
1609861798 |
Last Name Of The Provider |
BELL |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2201 CENTRAL AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
ST PETERSBURG |
Zip Code Of The Provider |
337138844 |
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 |
41 |
Number Of Services |
2227 |
Number Of Medicare Beneficiaries |
654 |
Total Submitted Charge Amount |
361527.26 |
Total Medicare Allowed Amount |
240961.07 |
Total Medicare Payment Amount |
179725.58 |
Total Medicare Standardized Payment Amount |
181488.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
204 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1039.22 |
Total Drug Medicare AllowedAmount |
469.08 |
Total Drug Medicare PaymentAmount |
366.44 |
Total Drug Medicare Standardized Payment Amount |
366.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2023 |
Number Of Medicare Beneficiaries With Medical Services |
654 |
Total Medical Submitted Charge Amount |
360488.04 |
Total Medical Medicare Allowed Amount |
240491.99 |
Total Medical Medicare Payment Amount |
179359.14 |
Total Medical Medicare Standardized Payment Amount |
181121.98 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
387 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
578 |
Number Of Black or African American Beneficiaries |
53 |
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 |
523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
1.6191 |