National Provider Identifier [NPI]: |
1225033848 |
Last Name Of The Provider |
DELO |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
DO PA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
514 SE PORT ST LUCIE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT SAINT LUCIE |
Zip Code Of The Provider |
349845108 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
144 |
Number Of Services |
10929 |
Number Of Medicare Beneficiaries |
511 |
Total Submitted Charge Amount |
586269 |
Total Medicare Allowed Amount |
317772.8 |
Total Medicare Payment Amount |
255171.16 |
Total Medicare Standardized Payment Amount |
249616.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
3421 |
Number Of Medicare Beneficiaries With Drug Services |
247 |
Total Drug Submitted ChargeAmount |
108557 |
Total Drug Medicare AllowedAmount |
53775.84 |
Total Drug Medicare PaymentAmount |
44407.12 |
Total Drug Medicare Standardized Payment Amount |
44407.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
7508 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
477712 |
Total Medical Medicare Allowed Amount |
263996.96 |
Total Medical Medicare Payment Amount |
210764.04 |
Total Medical Medicare Standardized Payment Amount |
205208.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
344 |
Number Of Male Beneficiaries |
167 |
Number Of Non Hispanic White Beneficiaries |
433 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
462 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9811 |