National Provider Identifier [NPI]: |
1669549374 |
Last Name Of The Provider |
CONIDI |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
X |
Credentials Of The Provider |
D.O,M.S.,P.A. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10377 S US HIGHWAY 1 |
Street Address 2 Of The Provider |
SUITE # 104 |
City Of The Provider |
PORT SAINT LUCIE |
Zip Code Of The Provider |
349525630 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
16059 |
Number Of Medicare Beneficiaries |
323 |
Total Submitted Charge Amount |
965257 |
Total Medicare Allowed Amount |
292974.44 |
Total Medicare Payment Amount |
224274.04 |
Total Medicare Standardized Payment Amount |
199373.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12900 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
219300 |
Total Drug Medicare AllowedAmount |
71018.5 |
Total Drug Medicare PaymentAmount |
55678.56 |
Total Drug Medicare Standardized Payment Amount |
55678.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3159 |
Number Of Medicare Beneficiaries With Medical Services |
323 |
Total Medical Submitted Charge Amount |
745957 |
Total Medical Medicare Allowed Amount |
221955.94 |
Total Medical Medicare Payment Amount |
168595.48 |
Total Medical Medicare Standardized Payment Amount |
143695.02 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
134 |
Number Of Non Hispanic White Beneficiaries |
282 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.1949 |