National Provider Identifier [NPI]: |
1043218977 |
Last Name Of The Provider |
ABOOD |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7955 AIRPORT PULLING RD N |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341091794 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
6219 |
Number Of Medicare Beneficiaries |
1901 |
Total Submitted Charge Amount |
693508.97 |
Total Medicare Allowed Amount |
373201.75 |
Total Medicare Payment Amount |
249234.96 |
Total Medicare Standardized Payment Amount |
237500.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1711 |
Number Of Medicare Beneficiaries With Drug Services |
308 |
Total Drug Submitted ChargeAmount |
14923 |
Total Drug Medicare AllowedAmount |
2646.43 |
Total Drug Medicare PaymentAmount |
2012.68 |
Total Drug Medicare Standardized Payment Amount |
2012.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
4508 |
Number Of Medicare Beneficiaries With Medical Services |
1901 |
Total Medical Submitted Charge Amount |
678585.97 |
Total Medical Medicare Allowed Amount |
370555.32 |
Total Medical Medicare Payment Amount |
247222.28 |
Total Medical Medicare Standardized Payment Amount |
235487.57 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
989 |
Number Of Beneficiaries Age 75 to 84 |
670 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
1090 |
Number Of Male Beneficiaries |
811 |
Number Of Non Hispanic White Beneficiaries |
1825 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1880 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9285 |