National Provider Identifier [NPI]: |
1043370752 |
Last Name Of The Provider |
ANAND |
First Name Of The Provider |
SUBASHINI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5460 BLANDING BLVD STE 3 |
Street Address 2 Of The Provider |
UFJP ANCHOR PLAZA FAMILY PRACTICE |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322441957 |
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 |
34 |
Number Of Services |
1645 |
Number Of Medicare Beneficiaries |
347 |
Total Submitted Charge Amount |
231236 |
Total Medicare Allowed Amount |
123446.53 |
Total Medicare Payment Amount |
85804.76 |
Total Medicare Standardized Payment Amount |
88111.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
133 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
3994 |
Total Drug Medicare AllowedAmount |
1729.08 |
Total Drug Medicare PaymentAmount |
1675.53 |
Total Drug Medicare Standardized Payment Amount |
1675.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1512 |
Number Of Medicare Beneficiaries With Medical Services |
347 |
Total Medical Submitted Charge Amount |
227242 |
Total Medical Medicare Allowed Amount |
121717.45 |
Total Medical Medicare Payment Amount |
84129.23 |
Total Medical Medicare Standardized Payment Amount |
86435.99 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
235 |
Number Of Male Beneficiaries |
112 |
Number Of Non Hispanic White Beneficiaries |
206 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
177 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2092 |