National Provider Identifier [NPI]: |
1922051374 |
Last Name Of The Provider |
MEANS |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6716 NW 11TH PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054215 |
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 |
192 |
Number Of Services |
11321 |
Number Of Medicare Beneficiaries |
3984 |
Total Submitted Charge Amount |
816234 |
Total Medicare Allowed Amount |
301391.23 |
Total Medicare Payment Amount |
242116.16 |
Total Medicare Standardized Payment Amount |
246768.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4922 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
22198 |
Total Drug Medicare AllowedAmount |
1412.28 |
Total Drug Medicare PaymentAmount |
1094.21 |
Total Drug Medicare Standardized Payment Amount |
1094.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
188 |
Number Of Medical Services |
6399 |
Number Of Medicare Beneficiaries With Medical Services |
3983 |
Total Medical Submitted Charge Amount |
794036 |
Total Medical Medicare Allowed Amount |
299978.95 |
Total Medical Medicare Payment Amount |
241021.95 |
Total Medical Medicare Standardized Payment Amount |
245674.4 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
772 |
Number Of Beneficiaries Age 65 to 74 |
1425 |
Number Of Beneficiaries Age 75 to 84 |
1165 |
Number Of Beneficiaries Age Greater 84 |
622 |
Number Of Female Beneficiaries |
2640 |
Number Of Male Beneficiaries |
1344 |
Number Of Non Hispanic White Beneficiaries |
3329 |
Number Of Black or African American Beneficiaries |
512 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2770 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1214 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7975 |