National Provider Identifier [NPI]: |
1427070952 |
Last Name Of The Provider |
MARCIANO |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3066 SW MARTIN DOWNS BLVD |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
PALM CITY |
Zip Code Of The Provider |
349902683 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2782 |
Number Of Medicare Beneficiaries |
1135 |
Total Submitted Charge Amount |
392305 |
Total Medicare Allowed Amount |
165915.36 |
Total Medicare Payment Amount |
109343.24 |
Total Medicare Standardized Payment Amount |
104247.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
424 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
20987 |
Total Drug Medicare AllowedAmount |
2930.44 |
Total Drug Medicare PaymentAmount |
2222.28 |
Total Drug Medicare Standardized Payment Amount |
2222.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2358 |
Number Of Medicare Beneficiaries With Medical Services |
1135 |
Total Medical Submitted Charge Amount |
371318 |
Total Medical Medicare Allowed Amount |
162984.92 |
Total Medical Medicare Payment Amount |
107120.96 |
Total Medical Medicare Standardized Payment Amount |
102025.12 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
465 |
Number Of Beneficiaries Age 75 to 84 |
402 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
671 |
Number Of Male Beneficiaries |
464 |
Number Of Non Hispanic White Beneficiaries |
1092 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1102 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.979 |