National Provider Identifier [NPI]: |
1801893342 |
Last Name Of The Provider |
DOYLE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E ROLLINS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031248 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
2928 |
Number Of Medicare Beneficiaries |
2317 |
Total Submitted Charge Amount |
136770.49 |
Total Medicare Allowed Amount |
46838.17 |
Total Medicare Payment Amount |
35118.37 |
Total Medicare Standardized Payment Amount |
35012.43 |
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 |
77 |
Number Of Medical Services |
2928 |
Number Of Medicare Beneficiaries With Medical Services |
2317 |
Total Medical Submitted Charge Amount |
136770.49 |
Total Medical Medicare Allowed Amount |
46838.17 |
Total Medical Medicare Payment Amount |
35118.37 |
Total Medical Medicare Standardized Payment Amount |
35012.43 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
432 |
Number Of Beneficiaries Age 65 to 74 |
702 |
Number Of Beneficiaries Age 75 to 84 |
693 |
Number Of Beneficiaries Age Greater 84 |
490 |
Number Of Female Beneficiaries |
1254 |
Number Of Male Beneficiaries |
1063 |
Number Of Non Hispanic White Beneficiaries |
1669 |
Number Of Black or African American Beneficiaries |
287 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
307 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1623 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
694 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.6269 |