National Provider Identifier [NPI]: |
1215946785 |
Last Name Of The Provider |
PALETSKY |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7335 GLADIOLUS DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FT MYERS |
Zip Code Of The Provider |
339085122 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
20569 |
Number Of Medicare Beneficiaries |
2296 |
Total Submitted Charge Amount |
4705823.24 |
Total Medicare Allowed Amount |
1391890.57 |
Total Medicare Payment Amount |
1051013.55 |
Total Medicare Standardized Payment Amount |
1009203.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2272 |
Number Of Medicare Beneficiaries With Drug Services |
348 |
Total Drug Submitted ChargeAmount |
479184.44 |
Total Drug Medicare AllowedAmount |
155039.1 |
Total Drug Medicare PaymentAmount |
120154.42 |
Total Drug Medicare Standardized Payment Amount |
120154.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
18297 |
Number Of Medicare Beneficiaries With Medical Services |
2296 |
Total Medical Submitted Charge Amount |
4226638.8 |
Total Medical Medicare Allowed Amount |
1236851.47 |
Total Medical Medicare Payment Amount |
930859.13 |
Total Medical Medicare Standardized Payment Amount |
889048.92 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
916 |
Number Of Beneficiaries Age 75 to 84 |
896 |
Number Of Beneficiaries Age Greater 84 |
379 |
Number Of Female Beneficiaries |
513 |
Number Of Male Beneficiaries |
1783 |
Number Of Non Hispanic White Beneficiaries |
2131 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
2196 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
29 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1483 |