National Provider Identifier [NPI]: |
1235104969 |
Last Name Of The Provider |
OZDEMIR |
First Name Of The Provider |
SAVAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
655 W 8TH ST |
Street Address 2 Of The Provider |
UFJP PROVIDER ENROLLMENT |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322096511 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
2441 |
Number Of Medicare Beneficiaries |
1496 |
Total Submitted Charge Amount |
370642.5 |
Total Medicare Allowed Amount |
80942.35 |
Total Medicare Payment Amount |
59658.17 |
Total Medicare Standardized Payment Amount |
59462.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
2441 |
Number Of Medicare Beneficiaries With Medical Services |
1496 |
Total Medical Submitted Charge Amount |
370642.5 |
Total Medical Medicare Allowed Amount |
80942.35 |
Total Medical Medicare Payment Amount |
59658.17 |
Total Medical Medicare Standardized Payment Amount |
59462.41 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
526 |
Number Of Beneficiaries Age 65 to 74 |
548 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
770 |
Number Of Male Beneficiaries |
726 |
Number Of Non Hispanic White Beneficiaries |
712 |
Number Of Black or African American Beneficiaries |
712 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
582 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
914 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.4826 |