National Provider Identifier [NPI]: |
1538155700 |
Last Name Of The Provider |
VELT |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 UNIVERSITY SQUARE DRIVE |
Street Address 2 Of The Provider |
TOWER IMAGING, INC. |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336125513 |
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 |
160 |
Number Of Services |
5262 |
Number Of Medicare Beneficiaries |
3153 |
Total Submitted Charge Amount |
1623861.19 |
Total Medicare Allowed Amount |
562167.78 |
Total Medicare Payment Amount |
410029.09 |
Total Medicare Standardized Payment Amount |
419624.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
300 |
Number Of Medicare Beneficiaries With Drug Services |
278 |
Total Drug Submitted ChargeAmount |
48528 |
Total Drug Medicare AllowedAmount |
287.96 |
Total Drug Medicare PaymentAmount |
225.39 |
Total Drug Medicare Standardized Payment Amount |
225.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
158 |
Number Of Medical Services |
4962 |
Number Of Medicare Beneficiaries With Medical Services |
3148 |
Total Medical Submitted Charge Amount |
1575333.19 |
Total Medical Medicare Allowed Amount |
561879.82 |
Total Medical Medicare Payment Amount |
409803.7 |
Total Medical Medicare Standardized Payment Amount |
419399.16 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
348 |
Number Of Beneficiaries Age 65 to 74 |
1312 |
Number Of Beneficiaries Age 75 to 84 |
1117 |
Number Of Beneficiaries Age Greater 84 |
376 |
Number Of Female Beneficiaries |
2033 |
Number Of Male Beneficiaries |
1120 |
Number Of Non Hispanic White Beneficiaries |
2924 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
125 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
360 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6284 |