National Provider Identifier [NPI]: |
1043219702 |
Last Name Of The Provider |
NAVARRO |
First Name Of The Provider |
ARMANDO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1211 JACARANDA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
VENICE |
Zip Code Of The Provider |
342924520 |
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 |
115 |
Number Of Services |
3349 |
Number Of Medicare Beneficiaries |
580 |
Total Submitted Charge Amount |
398274.3 |
Total Medicare Allowed Amount |
202564.93 |
Total Medicare Payment Amount |
146679.8 |
Total Medicare Standardized Payment Amount |
147393.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
989 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
26412.55 |
Total Drug Medicare AllowedAmount |
16797.59 |
Total Drug Medicare PaymentAmount |
14019.16 |
Total Drug Medicare Standardized Payment Amount |
14019.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
2360 |
Number Of Medicare Beneficiaries With Medical Services |
580 |
Total Medical Submitted Charge Amount |
371861.75 |
Total Medical Medicare Allowed Amount |
185767.34 |
Total Medical Medicare Payment Amount |
132660.64 |
Total Medical Medicare Standardized Payment Amount |
133374.74 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
341 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
543 |
Number Of Black or African American Beneficiaries |
|
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 |
537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3755 |