National Provider Identifier [NPI]: |
1043278765 |
Last Name Of The Provider |
SANDLER |
First Name Of The Provider |
E |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 PRUDENTIAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
32207 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
3228 |
Number Of Medicare Beneficiaries |
1236 |
Total Submitted Charge Amount |
414018.96 |
Total Medicare Allowed Amount |
101419.39 |
Total Medicare Payment Amount |
78878.9 |
Total Medicare Standardized Payment Amount |
59611.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
3228 |
Number Of Medicare Beneficiaries With Medical Services |
1236 |
Total Medical Submitted Charge Amount |
414018.96 |
Total Medical Medicare Allowed Amount |
101419.39 |
Total Medical Medicare Payment Amount |
78878.9 |
Total Medical Medicare Standardized Payment Amount |
59611.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
518 |
Number Of Beneficiaries Age 75 to 84 |
379 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
797 |
Number Of Male Beneficiaries |
439 |
Number Of Non Hispanic White Beneficiaries |
923 |
Number Of Black or African American Beneficiaries |
260 |
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 |
1003 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.7642 |