National Provider Identifier [NPI]: |
1851390066 |
Last Name Of The Provider |
FREEDMAN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E DIXIE AVE |
Street Address 2 Of The Provider |
PLAZA 901 |
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347485953 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
9042 |
Number Of Medicare Beneficiaries |
1179 |
Total Submitted Charge Amount |
1635551 |
Total Medicare Allowed Amount |
641748.05 |
Total Medicare Payment Amount |
488022.38 |
Total Medicare Standardized Payment Amount |
430673.98 |
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 |
95 |
Number Of Medical Services |
9042 |
Number Of Medicare Beneficiaries With Medical Services |
1179 |
Total Medical Submitted Charge Amount |
1635551 |
Total Medical Medicare Allowed Amount |
641748.05 |
Total Medical Medicare Payment Amount |
488022.38 |
Total Medical Medicare Standardized Payment Amount |
430673.98 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
568 |
Number Of Beneficiaries Age 75 to 84 |
397 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
637 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
1105 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1107 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2264 |