National Provider Identifier [NPI]: |
1730128406 |
Last Name Of The Provider |
SANTINI |
First Name Of The Provider |
ALEXANDRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M. D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5258 LINTON BLVD |
Street Address 2 Of The Provider |
STE 305 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334846540 |
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 |
48 |
Number Of Services |
10991 |
Number Of Medicare Beneficiaries |
1163 |
Total Submitted Charge Amount |
388034 |
Total Medicare Allowed Amount |
297768.02 |
Total Medicare Payment Amount |
236787.32 |
Total Medicare Standardized Payment Amount |
229793.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
177 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
6070 |
Total Drug Medicare AllowedAmount |
3240.28 |
Total Drug Medicare PaymentAmount |
3136.05 |
Total Drug Medicare Standardized Payment Amount |
3136.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
10814 |
Number Of Medicare Beneficiaries With Medical Services |
1163 |
Total Medical Submitted Charge Amount |
381964 |
Total Medical Medicare Allowed Amount |
294527.74 |
Total Medical Medicare Payment Amount |
233651.27 |
Total Medical Medicare Standardized Payment Amount |
226657.8 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
535 |
Number Of Female Beneficiaries |
765 |
Number Of Male Beneficiaries |
398 |
Number Of Non Hispanic White Beneficiaries |
1145 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1141 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6604 |