National Provider Identifier [NPI]: |
1629042445 |
Last Name Of The Provider |
TAMPIRA |
First Name Of The Provider |
SAROJ |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
483 N SEMORAN BLVD |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
WINTER PARK |
Zip Code Of The Provider |
327923800 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
14161 |
Number Of Medicare Beneficiaries |
1587 |
Total Submitted Charge Amount |
2950103 |
Total Medicare Allowed Amount |
1212488.38 |
Total Medicare Payment Amount |
935151.33 |
Total Medicare Standardized Payment Amount |
944481.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
6267 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
23980 |
Total Drug Medicare AllowedAmount |
5786.44 |
Total Drug Medicare PaymentAmount |
4390.26 |
Total Drug Medicare Standardized Payment Amount |
4390.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
157 |
Number Of Medical Services |
7894 |
Number Of Medicare Beneficiaries With Medical Services |
1587 |
Total Medical Submitted Charge Amount |
2926123 |
Total Medical Medicare Allowed Amount |
1206701.94 |
Total Medical Medicare Payment Amount |
930761.07 |
Total Medical Medicare Standardized Payment Amount |
940090.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
540 |
Number Of Beneficiaries Age 75 to 84 |
588 |
Number Of Beneficiaries Age Greater 84 |
251 |
Number Of Female Beneficiaries |
807 |
Number Of Male Beneficiaries |
780 |
Number Of Non Hispanic White Beneficiaries |
1317 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
111 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1227 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
360 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0197 |