National Provider Identifier [NPI]: |
1073510707 |
Last Name Of The Provider |
WEAVER |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1613 N MILLS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031849 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
6492 |
Number Of Medicare Beneficiaries |
2367 |
Total Submitted Charge Amount |
994104 |
Total Medicare Allowed Amount |
365705.88 |
Total Medicare Payment Amount |
276276.9 |
Total Medicare Standardized Payment Amount |
279029.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1393 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
17775 |
Total Drug Medicare AllowedAmount |
6074.18 |
Total Drug Medicare PaymentAmount |
4642.64 |
Total Drug Medicare Standardized Payment Amount |
4642.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
5099 |
Number Of Medicare Beneficiaries With Medical Services |
2367 |
Total Medical Submitted Charge Amount |
976329 |
Total Medical Medicare Allowed Amount |
359631.7 |
Total Medical Medicare Payment Amount |
271634.26 |
Total Medical Medicare Standardized Payment Amount |
274387.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
379 |
Number Of Beneficiaries Age 65 to 74 |
763 |
Number Of Beneficiaries Age 75 to 84 |
787 |
Number Of Beneficiaries Age Greater 84 |
438 |
Number Of Female Beneficiaries |
1260 |
Number Of Male Beneficiaries |
1107 |
Number Of Non Hispanic White Beneficiaries |
1676 |
Number Of Black or African American Beneficiaries |
422 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
208 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1848 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
519 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.2567 |