National Provider Identifier [NPI]: |
1043220932 |
Last Name Of The Provider |
LANDIS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 NOKOMIS AVE S |
Street Address 2 Of The Provider |
SUITE 102 & 103 |
City Of The Provider |
VENICE |
Zip Code Of The Provider |
342853209 |
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 |
105 |
Number Of Services |
9236 |
Number Of Medicare Beneficiaries |
2654 |
Total Submitted Charge Amount |
1575651.53 |
Total Medicare Allowed Amount |
693696.78 |
Total Medicare Payment Amount |
526446.2 |
Total Medicare Standardized Payment Amount |
530470.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
370 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
24591.52 |
Total Drug Medicare AllowedAmount |
18067.73 |
Total Drug Medicare PaymentAmount |
14164.81 |
Total Drug Medicare Standardized Payment Amount |
14164.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
8866 |
Number Of Medicare Beneficiaries With Medical Services |
2654 |
Total Medical Submitted Charge Amount |
1551060.01 |
Total Medical Medicare Allowed Amount |
675629.05 |
Total Medical Medicare Payment Amount |
512281.39 |
Total Medical Medicare Standardized Payment Amount |
516305.83 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
970 |
Number Of Beneficiaries Age 75 to 84 |
1011 |
Number Of Beneficiaries Age Greater 84 |
581 |
Number Of Female Beneficiaries |
1232 |
Number Of Male Beneficiaries |
1422 |
Number Of Non Hispanic White Beneficiaries |
2558 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
2481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4953 |