National Provider Identifier [NPI]: |
1427084870 |
Last Name Of The Provider |
VELLOZE |
First Name Of The Provider |
SABINO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7255 OLD OAK BLVD |
Street Address 2 Of The Provider |
C208 |
City Of The Provider |
MIDDLEBURG HEIGHTS |
Zip Code Of The Provider |
441303329 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
10204.2 |
Number Of Medicare Beneficiaries |
2378 |
Total Submitted Charge Amount |
1254847 |
Total Medicare Allowed Amount |
545762.4 |
Total Medicare Payment Amount |
405724.34 |
Total Medicare Standardized Payment Amount |
425236.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4633.2 |
Number Of Medicare Beneficiaries With Drug Services |
216 |
Total Drug Submitted ChargeAmount |
75602 |
Total Drug Medicare AllowedAmount |
40873.58 |
Total Drug Medicare PaymentAmount |
31643.85 |
Total Drug Medicare Standardized Payment Amount |
31643.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
5571 |
Number Of Medicare Beneficiaries With Medical Services |
2378 |
Total Medical Submitted Charge Amount |
1179245 |
Total Medical Medicare Allowed Amount |
504888.82 |
Total Medical Medicare Payment Amount |
374080.49 |
Total Medical Medicare Standardized Payment Amount |
393592.86 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
847 |
Number Of Beneficiaries Age 75 to 84 |
855 |
Number Of Beneficiaries Age Greater 84 |
501 |
Number Of Female Beneficiaries |
1252 |
Number Of Male Beneficiaries |
1126 |
Number Of Non Hispanic White Beneficiaries |
2273 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
229 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6117 |