National Provider Identifier [NPI]: |
1386674539 |
Last Name Of The Provider |
CAMA |
First Name Of The Provider |
CRISTOFORO |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1179 NW 64TH TER |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054218 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
7246 |
Number Of Medicare Beneficiaries |
843 |
Total Submitted Charge Amount |
642407 |
Total Medicare Allowed Amount |
332809.04 |
Total Medicare Payment Amount |
246725.45 |
Total Medicare Standardized Payment Amount |
249150.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2644 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
73770 |
Total Drug Medicare AllowedAmount |
23269.46 |
Total Drug Medicare PaymentAmount |
18118.72 |
Total Drug Medicare Standardized Payment Amount |
18118.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
4602 |
Number Of Medicare Beneficiaries With Medical Services |
843 |
Total Medical Submitted Charge Amount |
568637 |
Total Medical Medicare Allowed Amount |
309539.58 |
Total Medical Medicare Payment Amount |
228606.73 |
Total Medical Medicare Standardized Payment Amount |
231032.19 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
372 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
607 |
Number Of Non Hispanic White Beneficiaries |
689 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
752 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2241 |