National Provider Identifier [NPI]: |
1811982986 |
Last Name Of The Provider |
NAVETTA |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
619 S FLEISHEL AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
TYLER |
Zip Code Of The Provider |
757012004 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
11297 |
Number Of Medicare Beneficiaries |
2004 |
Total Submitted Charge Amount |
2826137.73 |
Total Medicare Allowed Amount |
684862.75 |
Total Medicare Payment Amount |
523947.7 |
Total Medicare Standardized Payment Amount |
556007.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5171 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
51996.94 |
Total Drug Medicare AllowedAmount |
17830.23 |
Total Drug Medicare PaymentAmount |
13812.25 |
Total Drug Medicare Standardized Payment Amount |
13812.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
6126 |
Number Of Medicare Beneficiaries With Medical Services |
2004 |
Total Medical Submitted Charge Amount |
2774140.79 |
Total Medical Medicare Allowed Amount |
667032.52 |
Total Medical Medicare Payment Amount |
510135.45 |
Total Medical Medicare Standardized Payment Amount |
542195.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
785 |
Number Of Beneficiaries Age 75 to 84 |
740 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
943 |
Number Of Male Beneficiaries |
1061 |
Number Of Non Hispanic White Beneficiaries |
1776 |
Number Of Black or African American Beneficiaries |
166 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
272 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5195 |