National Provider Identifier [NPI]: |
1023053279 |
Last Name Of The Provider |
VONSOHSTEN |
First Name Of The Provider |
ROBERTO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5401 S CONGRESS AVE |
Street Address 2 Of The Provider |
#102 |
City Of The Provider |
ATLANTIS |
Zip Code Of The Provider |
33462 |
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 |
53 |
Number Of Services |
4504 |
Number Of Medicare Beneficiaries |
1779 |
Total Submitted Charge Amount |
800779.85 |
Total Medicare Allowed Amount |
409815.66 |
Total Medicare Payment Amount |
306397.57 |
Total Medicare Standardized Payment Amount |
296486.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
108 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
9504 |
Total Drug Medicare AllowedAmount |
5727.02 |
Total Drug Medicare PaymentAmount |
4489.98 |
Total Drug Medicare Standardized Payment Amount |
4489.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4396 |
Number Of Medicare Beneficiaries With Medical Services |
1779 |
Total Medical Submitted Charge Amount |
791275.85 |
Total Medical Medicare Allowed Amount |
404088.64 |
Total Medical Medicare Payment Amount |
301907.59 |
Total Medical Medicare Standardized Payment Amount |
291996.13 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
620 |
Number Of Beneficiaries Age Greater 84 |
584 |
Number Of Female Beneficiaries |
895 |
Number Of Male Beneficiaries |
884 |
Number Of Non Hispanic White Beneficiaries |
1555 |
Number Of Black or African American Beneficiaries |
83 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
106 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1518 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9035 |