National Provider Identifier [NPI]: |
1114935624 |
Last Name Of The Provider |
SCIAVOLINO-DAY |
First Name Of The Provider |
CRISTINA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
720 GOODLETTE RD N |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341025656 |
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 |
40 |
Number Of Services |
5800 |
Number Of Medicare Beneficiaries |
574 |
Total Submitted Charge Amount |
526640.41 |
Total Medicare Allowed Amount |
218488.51 |
Total Medicare Payment Amount |
162958.6 |
Total Medicare Standardized Payment Amount |
158657.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
3916 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
154078.06 |
Total Drug Medicare AllowedAmount |
59229.26 |
Total Drug Medicare PaymentAmount |
46931.08 |
Total Drug Medicare Standardized Payment Amount |
46931.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1884 |
Number Of Medicare Beneficiaries With Medical Services |
574 |
Total Medical Submitted Charge Amount |
372562.35 |
Total Medical Medicare Allowed Amount |
159259.25 |
Total Medical Medicare Payment Amount |
116027.52 |
Total Medical Medicare Standardized Payment Amount |
111726.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
559 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.7967 |