National Provider Identifier [NPI]: |
1750475950 |
Last Name Of The Provider |
PANZER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2230 SW 19TH AVENUE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344711391 |
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 |
169 |
Number Of Services |
16507 |
Number Of Medicare Beneficiaries |
529 |
Total Submitted Charge Amount |
705857.49 |
Total Medicare Allowed Amount |
361306.77 |
Total Medicare Payment Amount |
281282.43 |
Total Medicare Standardized Payment Amount |
286148.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
5639 |
Number Of Medicare Beneficiaries With Drug Services |
281 |
Total Drug Submitted ChargeAmount |
16680.64 |
Total Drug Medicare AllowedAmount |
7190.08 |
Total Drug Medicare PaymentAmount |
6235.71 |
Total Drug Medicare Standardized Payment Amount |
6235.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
157 |
Number Of Medical Services |
10868 |
Number Of Medicare Beneficiaries With Medical Services |
529 |
Total Medical Submitted Charge Amount |
689176.85 |
Total Medical Medicare Allowed Amount |
354116.69 |
Total Medical Medicare Payment Amount |
275046.72 |
Total Medical Medicare Standardized Payment Amount |
279912.64 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
298 |
Number Of Male Beneficiaries |
231 |
Number Of Non Hispanic White Beneficiaries |
499 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
497 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
2 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1331 |