National Provider Identifier [NPI]: |
1598741928 |
Last Name Of The Provider |
PAINTER |
First Name Of The Provider |
HEMANT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD, MB.,BS |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7232 W SAND LAKE RD |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328195260 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2462 |
Number Of Medicare Beneficiaries |
356 |
Total Submitted Charge Amount |
290407.73 |
Total Medicare Allowed Amount |
236232.64 |
Total Medicare Payment Amount |
176628.63 |
Total Medicare Standardized Payment Amount |
177088.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
860 |
Total Drug Medicare AllowedAmount |
285.84 |
Total Drug Medicare PaymentAmount |
247.24 |
Total Drug Medicare Standardized Payment Amount |
247.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2385 |
Number Of Medicare Beneficiaries With Medical Services |
356 |
Total Medical Submitted Charge Amount |
289547.73 |
Total Medical Medicare Allowed Amount |
235946.8 |
Total Medical Medicare Payment Amount |
176381.39 |
Total Medical Medicare Standardized Payment Amount |
176841.22 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
93 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
202 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
211 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
53 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.3074 |