National Provider Identifier [NPI]: |
1033100300 |
Last Name Of The Provider |
KORENSKY |
First Name Of The Provider |
TOMAS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
38135 MARKET SQ |
Street Address 2 Of The Provider |
|
City Of The Provider |
ZEPHYRHILLS |
Zip Code Of The Provider |
335427505 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
27149 |
Number Of Medicare Beneficiaries |
2117 |
Total Submitted Charge Amount |
1222645.28 |
Total Medicare Allowed Amount |
462458.31 |
Total Medicare Payment Amount |
360641.7 |
Total Medicare Standardized Payment Amount |
373171.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23509 |
Number Of Medicare Beneficiaries With Drug Services |
265 |
Total Drug Submitted ChargeAmount |
28457.5 |
Total Drug Medicare AllowedAmount |
6836.13 |
Total Drug Medicare PaymentAmount |
5291.66 |
Total Drug Medicare Standardized Payment Amount |
5291.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
145 |
Number Of Medical Services |
3640 |
Number Of Medicare Beneficiaries With Medical Services |
2117 |
Total Medical Submitted Charge Amount |
1194187.78 |
Total Medical Medicare Allowed Amount |
455622.18 |
Total Medical Medicare Payment Amount |
355350.04 |
Total Medical Medicare Standardized Payment Amount |
367879.94 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
270 |
Number Of Beneficiaries Age 65 to 74 |
969 |
Number Of Beneficiaries Age 75 to 84 |
688 |
Number Of Beneficiaries Age Greater 84 |
190 |
Number Of Female Beneficiaries |
1426 |
Number Of Male Beneficiaries |
691 |
Number Of Non Hispanic White Beneficiaries |
1928 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1863 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.284 |