National Provider Identifier [NPI]: |
1245229293 |
Last Name Of The Provider |
MYLETT |
First Name Of The Provider |
JANINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3333 CATTLEMEN RD |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326056 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3193 |
Number Of Medicare Beneficiaries |
833 |
Total Submitted Charge Amount |
623213.2 |
Total Medicare Allowed Amount |
355021.47 |
Total Medicare Payment Amount |
268629.14 |
Total Medicare Standardized Payment Amount |
269757.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
5407 |
Total Drug Medicare AllowedAmount |
884.19 |
Total Drug Medicare PaymentAmount |
690.21 |
Total Drug Medicare Standardized Payment Amount |
690.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3026 |
Number Of Medicare Beneficiaries With Medical Services |
832 |
Total Medical Submitted Charge Amount |
617806.2 |
Total Medical Medicare Allowed Amount |
354137.28 |
Total Medical Medicare Payment Amount |
267938.93 |
Total Medical Medicare Standardized Payment Amount |
269066.97 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
335 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
792 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
729 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
68 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0324 |