National Provider Identifier [NPI]: |
1225126519 |
Last Name Of The Provider |
GREENFIELD |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10806 US HIGHWAY 19 |
Street Address 2 Of The Provider |
SUITE 102A |
City Of The Provider |
PORT RICHEY |
Zip Code Of The Provider |
34668 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2355 |
Number Of Medicare Beneficiaries |
407 |
Total Submitted Charge Amount |
294765.75 |
Total Medicare Allowed Amount |
178825.94 |
Total Medicare Payment Amount |
123664.8 |
Total Medicare Standardized Payment Amount |
123932.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
2284.39 |
Total Drug Medicare AllowedAmount |
1140.57 |
Total Drug Medicare PaymentAmount |
1096.37 |
Total Drug Medicare Standardized Payment Amount |
1096.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2252 |
Number Of Medicare Beneficiaries With Medical Services |
407 |
Total Medical Submitted Charge Amount |
292481.36 |
Total Medical Medicare Allowed Amount |
177685.37 |
Total Medical Medicare Payment Amount |
122568.43 |
Total Medical Medicare Standardized Payment Amount |
122835.88 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
376 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
264 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1405 |