National Provider Identifier [NPI]: |
1750361630 |
Last Name Of The Provider |
FUSCO |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 SE 17TH STREET |
Street Address 2 Of The Provider |
BUILDING 100 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
34471 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
8641 |
Number Of Medicare Beneficiaries |
857 |
Total Submitted Charge Amount |
787654 |
Total Medicare Allowed Amount |
317719.62 |
Total Medicare Payment Amount |
236940.75 |
Total Medicare Standardized Payment Amount |
238411.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
220 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
16178 |
Total Drug Medicare AllowedAmount |
6043.05 |
Total Drug Medicare PaymentAmount |
5891.84 |
Total Drug Medicare Standardized Payment Amount |
5891.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
8421 |
Number Of Medicare Beneficiaries With Medical Services |
857 |
Total Medical Submitted Charge Amount |
771476 |
Total Medical Medicare Allowed Amount |
311676.57 |
Total Medical Medicare Payment Amount |
231048.91 |
Total Medical Medicare Standardized Payment Amount |
232519.87 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
312 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
406 |
Number Of Non Hispanic White Beneficiaries |
785 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
747 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0936 |