National Provider Identifier [NPI]: |
1801859202 |
Last Name Of The Provider |
SAVAGE |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12700 CREEKSIDE LN |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339193356 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurosurgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
3117 |
Number Of Medicare Beneficiaries |
521 |
Total Submitted Charge Amount |
1414699 |
Total Medicare Allowed Amount |
393001.35 |
Total Medicare Payment Amount |
301224.78 |
Total Medicare Standardized Payment Amount |
273927.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1706 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
20316 |
Total Drug Medicare AllowedAmount |
12545.81 |
Total Drug Medicare PaymentAmount |
9622.24 |
Total Drug Medicare Standardized Payment Amount |
9622.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
1411 |
Number Of Medicare Beneficiaries With Medical Services |
521 |
Total Medical Submitted Charge Amount |
1394383 |
Total Medical Medicare Allowed Amount |
380455.54 |
Total Medical Medicare Payment Amount |
291602.54 |
Total Medical Medicare Standardized Payment Amount |
264304.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
234 |
Number Of Non Hispanic White Beneficiaries |
456 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
444 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.3758 |