National Provider Identifier [NPI]: |
1891702965 |
Last Name Of The Provider |
RUGGIERI |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1107 W MARION AVE |
Street Address 2 Of The Provider |
116 |
City Of The Provider |
PUNTA GORDA |
Zip Code Of The Provider |
339505372 |
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 |
170 |
Number Of Services |
45325 |
Number Of Medicare Beneficiaries |
838 |
Total Submitted Charge Amount |
3542580.76 |
Total Medicare Allowed Amount |
1980596.58 |
Total Medicare Payment Amount |
1627992.95 |
Total Medicare Standardized Payment Amount |
1647539.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
7025 |
Number Of Medicare Beneficiaries With Drug Services |
663 |
Total Drug Submitted ChargeAmount |
107019 |
Total Drug Medicare AllowedAmount |
64407.49 |
Total Drug Medicare PaymentAmount |
51237.31 |
Total Drug Medicare Standardized Payment Amount |
51237.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
157 |
Number Of Medical Services |
38300 |
Number Of Medicare Beneficiaries With Medical Services |
838 |
Total Medical Submitted Charge Amount |
3435561.76 |
Total Medical Medicare Allowed Amount |
1916189.09 |
Total Medical Medicare Payment Amount |
1576755.64 |
Total Medical Medicare Standardized Payment Amount |
1596302.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
336 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
434 |
Number Of Non Hispanic White Beneficiaries |
784 |
Number Of Black or African American Beneficiaries |
20 |
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 |
773 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
63 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3529 |