National Provider Identifier [NPI]: |
1477589950 |
Last Name Of The Provider |
RIVERS |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1503 BUENOS AIRES BLVD |
Street Address 2 Of The Provider |
BLDG 110 |
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321596821 |
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 |
129 |
Number Of Services |
37545.3 |
Number Of Medicare Beneficiaries |
2036 |
Total Submitted Charge Amount |
1708183.97 |
Total Medicare Allowed Amount |
1103053.62 |
Total Medicare Payment Amount |
886187.23 |
Total Medicare Standardized Payment Amount |
892660.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
7511.3 |
Number Of Medicare Beneficiaries With Drug Services |
906 |
Total Drug Submitted ChargeAmount |
207058.09 |
Total Drug Medicare AllowedAmount |
150147.01 |
Total Drug Medicare PaymentAmount |
135870.28 |
Total Drug Medicare Standardized Payment Amount |
135870.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
30034 |
Number Of Medicare Beneficiaries With Medical Services |
2036 |
Total Medical Submitted Charge Amount |
1501125.88 |
Total Medical Medicare Allowed Amount |
952906.61 |
Total Medical Medicare Payment Amount |
750316.95 |
Total Medical Medicare Standardized Payment Amount |
756790.54 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
1061 |
Number Of Beneficiaries Age 75 to 84 |
783 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
1120 |
Number Of Male Beneficiaries |
916 |
Number Of Non Hispanic White Beneficiaries |
1990 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
2015 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9496 |