National Provider Identifier [NPI]: |
1225090657 |
Last Name Of The Provider |
WASSMER |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6006 49TH ST N |
Street Address 2 Of The Provider |
STE. 200 |
City Of The Provider |
ST PETERSBURG |
Zip Code Of The Provider |
337092148 |
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 |
75 |
Number Of Services |
8800 |
Number Of Medicare Beneficiaries |
3229 |
Total Submitted Charge Amount |
1391547 |
Total Medicare Allowed Amount |
518351.31 |
Total Medicare Payment Amount |
387163.64 |
Total Medicare Standardized Payment Amount |
390556.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
199 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
31035 |
Total Drug Medicare AllowedAmount |
10463.13 |
Total Drug Medicare PaymentAmount |
8207.78 |
Total Drug Medicare Standardized Payment Amount |
8207.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
8601 |
Number Of Medicare Beneficiaries With Medical Services |
3229 |
Total Medical Submitted Charge Amount |
1360512 |
Total Medical Medicare Allowed Amount |
507888.18 |
Total Medical Medicare Payment Amount |
378955.86 |
Total Medical Medicare Standardized Payment Amount |
382348.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
599 |
Number Of Beneficiaries Age 65 to 74 |
889 |
Number Of Beneficiaries Age 75 to 84 |
1009 |
Number Of Beneficiaries Age Greater 84 |
732 |
Number Of Female Beneficiaries |
1802 |
Number Of Male Beneficiaries |
1427 |
Number Of Non Hispanic White Beneficiaries |
2818 |
Number Of Black or African American Beneficiaries |
168 |
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
147 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2105 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1124 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9896 |