National Provider Identifier [NPI]: |
1215909254 |
Last Name Of The Provider |
SWEENEY |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2250 OSPREY BLVD |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
BARTOW |
Zip Code Of The Provider |
33830 |
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 |
52 |
Number Of Services |
4129 |
Number Of Medicare Beneficiaries |
817 |
Total Submitted Charge Amount |
455149.75 |
Total Medicare Allowed Amount |
256931.64 |
Total Medicare Payment Amount |
187272.25 |
Total Medicare Standardized Payment Amount |
191521.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
420 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
9849.75 |
Total Drug Medicare AllowedAmount |
5404.72 |
Total Drug Medicare PaymentAmount |
4838.42 |
Total Drug Medicare Standardized Payment Amount |
4838.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3709 |
Number Of Medicare Beneficiaries With Medical Services |
817 |
Total Medical Submitted Charge Amount |
445300 |
Total Medical Medicare Allowed Amount |
251526.92 |
Total Medical Medicare Payment Amount |
182433.83 |
Total Medical Medicare Standardized Payment Amount |
186683.06 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
295 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
301 |
Number Of Non Hispanic White Beneficiaries |
761 |
Number Of Black or African American Beneficiaries |
30 |
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 |
626 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6062 |