National Provider Identifier [NPI]: |
1841488277 |
Last Name Of The Provider |
RESTREPO |
First Name Of The Provider |
ANA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
730 MALABAR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MALABAR |
Zip Code Of The Provider |
329503140 |
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 |
157 |
Number Of Services |
29356 |
Number Of Medicare Beneficiaries |
923 |
Total Submitted Charge Amount |
477881 |
Total Medicare Allowed Amount |
196152.41 |
Total Medicare Payment Amount |
150198.11 |
Total Medicare Standardized Payment Amount |
151440.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
49 |
Number Of Drug Services |
26918 |
Number Of Medicare Beneficiaries With Drug Services |
423 |
Total Drug Submitted ChargeAmount |
264878 |
Total Drug Medicare AllowedAmount |
99389.66 |
Total Drug Medicare PaymentAmount |
77467.04 |
Total Drug Medicare Standardized Payment Amount |
77467.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
2438 |
Number Of Medicare Beneficiaries With Medical Services |
920 |
Total Medical Submitted Charge Amount |
213003 |
Total Medical Medicare Allowed Amount |
96762.75 |
Total Medical Medicare Payment Amount |
72731.07 |
Total Medical Medicare Standardized Payment Amount |
73973.53 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
425 |
Number Of Non Hispanic White Beneficiaries |
805 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
834 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5657 |