National Provider Identifier [NPI]: |
1730150806 |
Last Name Of The Provider |
PRESSER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
527 N PALO ALTO AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PANAMA CITY |
Zip Code Of The Provider |
324013639 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
7206 |
Number Of Medicare Beneficiaries |
4175 |
Total Submitted Charge Amount |
720722 |
Total Medicare Allowed Amount |
241858.43 |
Total Medicare Payment Amount |
188407.81 |
Total Medicare Standardized Payment Amount |
190129.58 |
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 |
187 |
Number Of Medical Services |
7206 |
Number Of Medicare Beneficiaries With Medical Services |
4175 |
Total Medical Submitted Charge Amount |
720722 |
Total Medical Medicare Allowed Amount |
241858.43 |
Total Medical Medicare Payment Amount |
188407.81 |
Total Medical Medicare Standardized Payment Amount |
190129.58 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
923 |
Number Of Beneficiaries Age 65 to 74 |
1396 |
Number Of Beneficiaries Age 75 to 84 |
1288 |
Number Of Beneficiaries Age Greater 84 |
568 |
Number Of Female Beneficiaries |
2450 |
Number Of Male Beneficiaries |
1725 |
Number Of Non Hispanic White Beneficiaries |
3634 |
Number Of Black or African American Beneficiaries |
417 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2883 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1292 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7808 |