National Provider Identifier [NPI]: |
1366543456 |
Last Name Of The Provider |
NUNEZ |
First Name Of The Provider |
ANGEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2202 STATE AVE |
Street Address 2 Of The Provider |
STE.108 |
City Of The Provider |
PANAMA CITY |
Zip Code Of The Provider |
324057601 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
4885 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
937291.5 |
Total Medicare Allowed Amount |
467878.06 |
Total Medicare Payment Amount |
362425.49 |
Total Medicare Standardized Payment Amount |
359397.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
325 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
2682 |
Total Drug Medicare AllowedAmount |
1216.22 |
Total Drug Medicare PaymentAmount |
1183.2 |
Total Drug Medicare Standardized Payment Amount |
1183.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
4560 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
934609.5 |
Total Medical Medicare Allowed Amount |
466661.84 |
Total Medical Medicare Payment Amount |
361242.29 |
Total Medical Medicare Standardized Payment Amount |
358214.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
410 |
Number Of Male Beneficiaries |
402 |
Number Of Non Hispanic White Beneficiaries |
722 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
70 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1068 |