National Provider Identifier [NPI]: |
1821048752 |
Last Name Of The Provider |
COLON |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
730 GOODLETTE RD N |
Street Address 2 Of The Provider |
SUITE 100B |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341025616 |
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 |
78 |
Number Of Services |
3142 |
Number Of Medicare Beneficiaries |
981 |
Total Submitted Charge Amount |
3902763 |
Total Medicare Allowed Amount |
1584430.33 |
Total Medicare Payment Amount |
1227537.13 |
Total Medicare Standardized Payment Amount |
1109894.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
452 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
5424 |
Total Drug Medicare AllowedAmount |
98.05 |
Total Drug Medicare PaymentAmount |
76.66 |
Total Drug Medicare Standardized Payment Amount |
76.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
2690 |
Number Of Medicare Beneficiaries With Medical Services |
981 |
Total Medical Submitted Charge Amount |
3897339 |
Total Medical Medicare Allowed Amount |
1584332.28 |
Total Medical Medicare Payment Amount |
1227460.47 |
Total Medical Medicare Standardized Payment Amount |
1109817.57 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
416 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
493 |
Number Of Male Beneficiaries |
488 |
Number Of Non Hispanic White Beneficiaries |
938 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
944 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2669 |