National Provider Identifier [NPI]: |
1437129905 |
Last Name Of The Provider |
VALENTE |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 PINE LAKE RD |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685165497 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
230409 |
Number Of Medicare Beneficiaries |
1054 |
Total Submitted Charge Amount |
5565566 |
Total Medicare Allowed Amount |
2763462.61 |
Total Medicare Payment Amount |
2092282.47 |
Total Medicare Standardized Payment Amount |
2101424.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
206860 |
Number Of Medicare Beneficiaries With Drug Services |
441 |
Total Drug Submitted ChargeAmount |
4197452 |
Total Drug Medicare AllowedAmount |
2316038.04 |
Total Drug Medicare PaymentAmount |
1749873.78 |
Total Drug Medicare Standardized Payment Amount |
1749873.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
23549 |
Number Of Medicare Beneficiaries With Medical Services |
1054 |
Total Medical Submitted Charge Amount |
1368114 |
Total Medical Medicare Allowed Amount |
447424.57 |
Total Medical Medicare Payment Amount |
342408.69 |
Total Medical Medicare Standardized Payment Amount |
351550.66 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
497 |
Number Of Beneficiaries Age 75 to 84 |
363 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
763 |
Number Of Male Beneficiaries |
291 |
Number Of Non Hispanic White Beneficiaries |
1009 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
971 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0539 |