National Provider Identifier [NPI]: |
1912088105 |
Last Name Of The Provider |
SAITOWITZ |
First Name Of The Provider |
HADLEY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
OD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16201 S MILITARY TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334846503 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Optometry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
7842 |
Number Of Medicare Beneficiaries |
2239 |
Total Submitted Charge Amount |
832040 |
Total Medicare Allowed Amount |
619466.85 |
Total Medicare Payment Amount |
457922.12 |
Total Medicare Standardized Payment Amount |
428384.78 |
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 |
36 |
Number Of Medical Services |
7842 |
Number Of Medicare Beneficiaries With Medical Services |
2239 |
Total Medical Submitted Charge Amount |
832040 |
Total Medical Medicare Allowed Amount |
619466.85 |
Total Medical Medicare Payment Amount |
457922.12 |
Total Medical Medicare Standardized Payment Amount |
428384.78 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
558 |
Number Of Beneficiaries Age 75 to 84 |
922 |
Number Of Beneficiaries Age Greater 84 |
741 |
Number Of Female Beneficiaries |
1490 |
Number Of Male Beneficiaries |
749 |
Number Of Non Hispanic White Beneficiaries |
2183 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
2213 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3393 |