National Provider Identifier [NPI]: |
1902805872 |
Last Name Of The Provider |
NOVAK |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1660 MEDICAL BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341101413 |
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 |
74 |
Number Of Services |
63206 |
Number Of Medicare Beneficiaries |
918 |
Total Submitted Charge Amount |
1838693.5 |
Total Medicare Allowed Amount |
753825.39 |
Total Medicare Payment Amount |
572840.64 |
Total Medicare Standardized Payment Amount |
550190.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
59552 |
Number Of Medicare Beneficiaries With Drug Services |
281 |
Total Drug Submitted ChargeAmount |
405648.5 |
Total Drug Medicare AllowedAmount |
261916.33 |
Total Drug Medicare PaymentAmount |
204501.7 |
Total Drug Medicare Standardized Payment Amount |
204501.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
3654 |
Number Of Medicare Beneficiaries With Medical Services |
918 |
Total Medical Submitted Charge Amount |
1433045 |
Total Medical Medicare Allowed Amount |
491909.06 |
Total Medical Medicare Payment Amount |
368338.94 |
Total Medical Medicare Standardized Payment Amount |
345688.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
558 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
864 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
882 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.1475 |