National Provider Identifier [NPI]: |
1578570727 |
Last Name Of The Provider |
STRAUSS |
First Name Of The Provider |
GUY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
404 NW HALL OF FAME DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE CITY |
Zip Code Of The Provider |
320554833 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
144 |
Number Of Services |
29630 |
Number Of Medicare Beneficiaries |
743 |
Total Submitted Charge Amount |
1313549.49 |
Total Medicare Allowed Amount |
896461.81 |
Total Medicare Payment Amount |
722568.76 |
Total Medicare Standardized Payment Amount |
731320.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
926 |
Number Of Medicare Beneficiaries With Drug Services |
483 |
Total Drug Submitted ChargeAmount |
41100 |
Total Drug Medicare AllowedAmount |
13570.54 |
Total Drug Medicare PaymentAmount |
11532.89 |
Total Drug Medicare Standardized Payment Amount |
11532.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
28704 |
Number Of Medicare Beneficiaries With Medical Services |
743 |
Total Medical Submitted Charge Amount |
1272449.49 |
Total Medical Medicare Allowed Amount |
882891.27 |
Total Medical Medicare Payment Amount |
711035.87 |
Total Medical Medicare Standardized Payment Amount |
719787.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
287 |
Number Of Non Hispanic White Beneficiaries |
664 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
621 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3349 |