National Provider Identifier [NPI]: |
1013906031 |
Last Name Of The Provider |
OPPENHEIMER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1921 WALDEMERE ST |
Street Address 2 Of The Provider |
SUITE 605 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342392943 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3561 |
Number Of Medicare Beneficiaries |
1150 |
Total Submitted Charge Amount |
583815 |
Total Medicare Allowed Amount |
360797.44 |
Total Medicare Payment Amount |
280672.49 |
Total Medicare Standardized Payment Amount |
283084.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
37 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
3067 |
Total Drug Medicare AllowedAmount |
2650.51 |
Total Drug Medicare PaymentAmount |
2596.53 |
Total Drug Medicare Standardized Payment Amount |
2596.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3524 |
Number Of Medicare Beneficiaries With Medical Services |
1150 |
Total Medical Submitted Charge Amount |
580748 |
Total Medical Medicare Allowed Amount |
358146.93 |
Total Medical Medicare Payment Amount |
278075.96 |
Total Medical Medicare Standardized Payment Amount |
280488.18 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
412 |
Number Of Beneficiaries Age 75 to 84 |
427 |
Number Of Beneficiaries Age Greater 84 |
293 |
Number Of Female Beneficiaries |
547 |
Number Of Male Beneficiaries |
603 |
Number Of Non Hispanic White Beneficiaries |
1092 |
Number Of Black or African American Beneficiaries |
27 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1127 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1867 |