National Provider Identifier [NPI]: |
1285638171 |
Last Name Of The Provider |
LOVEDAY |
First Name Of The Provider |
GONZALO |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 UNIVERSITY BLVD |
Street Address 2 Of The Provider |
200 |
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334582778 |
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 |
80 |
Number Of Services |
8981 |
Number Of Medicare Beneficiaries |
2623 |
Total Submitted Charge Amount |
1376784 |
Total Medicare Allowed Amount |
769632.36 |
Total Medicare Payment Amount |
586017.96 |
Total Medicare Standardized Payment Amount |
566576.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
388 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
21340 |
Total Drug Medicare AllowedAmount |
20555.47 |
Total Drug Medicare PaymentAmount |
16115.33 |
Total Drug Medicare Standardized Payment Amount |
16115.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
8593 |
Number Of Medicare Beneficiaries With Medical Services |
2623 |
Total Medical Submitted Charge Amount |
1355444 |
Total Medical Medicare Allowed Amount |
749076.89 |
Total Medical Medicare Payment Amount |
569902.63 |
Total Medical Medicare Standardized Payment Amount |
550461.57 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
728 |
Number Of Beneficiaries Age 75 to 84 |
936 |
Number Of Beneficiaries Age Greater 84 |
807 |
Number Of Female Beneficiaries |
1350 |
Number Of Male Beneficiaries |
1273 |
Number Of Non Hispanic White Beneficiaries |
2416 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
260 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8774 |