National Provider Identifier [NPI]: |
1205821881 |
Last Name Of The Provider |
ZARAGOZA |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 BANNING ST |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
DOVER |
Zip Code Of The Provider |
19904 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
10028 |
Number Of Medicare Beneficiaries |
1322 |
Total Submitted Charge Amount |
1512039 |
Total Medicare Allowed Amount |
680605.1 |
Total Medicare Payment Amount |
511352.54 |
Total Medicare Standardized Payment Amount |
508117.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
449 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
335028 |
Total Drug Medicare AllowedAmount |
198938.39 |
Total Drug Medicare PaymentAmount |
155469.74 |
Total Drug Medicare Standardized Payment Amount |
155469.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
9579 |
Number Of Medicare Beneficiaries With Medical Services |
1322 |
Total Medical Submitted Charge Amount |
1177011 |
Total Medical Medicare Allowed Amount |
481666.71 |
Total Medical Medicare Payment Amount |
355882.8 |
Total Medical Medicare Standardized Payment Amount |
352648.06 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
528 |
Number Of Beneficiaries Age 75 to 84 |
544 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
932 |
Number Of Non Hispanic White Beneficiaries |
1128 |
Number Of Black or African American Beneficiaries |
145 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3485 |