National Provider Identifier [NPI]: |
1780830562 |
Last Name Of The Provider |
FLORIN |
First Name Of The Provider |
LAUREN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
250 TOLL GATE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WARWICK |
Zip Code Of The Provider |
028864411 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
2815 |
Number Of Medicare Beneficiaries |
1741 |
Total Submitted Charge Amount |
1113283.79 |
Total Medicare Allowed Amount |
319711.24 |
Total Medicare Payment Amount |
249060.46 |
Total Medicare Standardized Payment Amount |
241612.44 |
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 |
128 |
Number Of Medical Services |
2815 |
Number Of Medicare Beneficiaries With Medical Services |
1741 |
Total Medical Submitted Charge Amount |
1113283.79 |
Total Medical Medicare Allowed Amount |
319711.24 |
Total Medical Medicare Payment Amount |
249060.46 |
Total Medical Medicare Standardized Payment Amount |
241612.44 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
380 |
Number Of Beneficiaries Age 65 to 74 |
706 |
Number Of Beneficiaries Age 75 to 84 |
438 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
1210 |
Number Of Male Beneficiaries |
531 |
Number Of Non Hispanic White Beneficiaries |
1408 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
191 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
43 |
Number Of Beneficiaries With Medicare Only Entitlement |
1217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
524 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2135 |