National Provider Identifier [NPI]: |
1942271481 |
Last Name Of The Provider |
SENERIZ |
First Name Of The Provider |
MANUEL |
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 |
609 W HIGHLAND BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
INVERNESS |
Zip Code Of The Provider |
344524638 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
21149 |
Number Of Medicare Beneficiaries |
2286 |
Total Submitted Charge Amount |
2081974.55 |
Total Medicare Allowed Amount |
770869.61 |
Total Medicare Payment Amount |
588162.8 |
Total Medicare Standardized Payment Amount |
589247.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
6238 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
288256.17 |
Total Drug Medicare AllowedAmount |
118637.22 |
Total Drug Medicare PaymentAmount |
92722.98 |
Total Drug Medicare Standardized Payment Amount |
92722.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
14911 |
Number Of Medicare Beneficiaries With Medical Services |
2286 |
Total Medical Submitted Charge Amount |
1793718.38 |
Total Medical Medicare Allowed Amount |
652232.39 |
Total Medical Medicare Payment Amount |
495439.82 |
Total Medical Medicare Standardized Payment Amount |
496524.64 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
817 |
Number Of Beneficiaries Age 75 to 84 |
970 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
548 |
Number Of Male Beneficiaries |
1738 |
Number Of Non Hispanic White Beneficiaries |
2130 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2758 |