National Provider Identifier [NPI]: |
1992827315 |
Last Name Of The Provider |
TORRES |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3750 EMERGENCY LN |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
SEBRING |
Zip Code Of The Provider |
338705500 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
58954 |
Number Of Medicare Beneficiaries |
897 |
Total Submitted Charge Amount |
4937238.44 |
Total Medicare Allowed Amount |
1738148.5 |
Total Medicare Payment Amount |
1325683.1 |
Total Medicare Standardized Payment Amount |
1326378.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
53418 |
Number Of Medicare Beneficiaries With Drug Services |
552 |
Total Drug Submitted ChargeAmount |
3915321.16 |
Total Drug Medicare AllowedAmount |
1285303.52 |
Total Drug Medicare PaymentAmount |
993580.88 |
Total Drug Medicare Standardized Payment Amount |
993580.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
5536 |
Number Of Medicare Beneficiaries With Medical Services |
897 |
Total Medical Submitted Charge Amount |
1021917.28 |
Total Medical Medicare Allowed Amount |
452844.98 |
Total Medical Medicare Payment Amount |
332102.22 |
Total Medical Medicare Standardized Payment Amount |
332797.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
663 |
Number Of Male Beneficiaries |
234 |
Number Of Non Hispanic White Beneficiaries |
763 |
Number Of Black or African American Beneficiaries |
31 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4163 |