National Provider Identifier [NPI]: |
1639123359 |
Last Name Of The Provider |
ALBERT |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3021 AIRPORT PULLING RD N |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341053077 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
4281 |
Number Of Medicare Beneficiaries |
1725 |
Total Submitted Charge Amount |
799117 |
Total Medicare Allowed Amount |
380094.7 |
Total Medicare Payment Amount |
288545.16 |
Total Medicare Standardized Payment Amount |
275395.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
2091 |
Total Drug Medicare AllowedAmount |
1578.19 |
Total Drug Medicare PaymentAmount |
1546.6 |
Total Drug Medicare Standardized Payment Amount |
1546.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
4250 |
Number Of Medicare Beneficiaries With Medical Services |
1725 |
Total Medical Submitted Charge Amount |
797026 |
Total Medical Medicare Allowed Amount |
378516.51 |
Total Medical Medicare Payment Amount |
286998.56 |
Total Medical Medicare Standardized Payment Amount |
273848.42 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
584 |
Number Of Beneficiaries Age 75 to 84 |
712 |
Number Of Beneficiaries Age Greater 84 |
329 |
Number Of Female Beneficiaries |
795 |
Number Of Male Beneficiaries |
930 |
Number Of Non Hispanic White Beneficiaries |
1612 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1578 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9086 |