National Provider Identifier [NPI]: |
1861435695 |
Last Name Of The Provider |
SALOPEK |
First Name Of The Provider |
VLATKO |
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 |
8359 STRINGFELLOW RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST JAMES CITY |
Zip Code Of The Provider |
339562910 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
1466 |
Number Of Medicare Beneficiaries |
870 |
Total Submitted Charge Amount |
395291.34 |
Total Medicare Allowed Amount |
202793.38 |
Total Medicare Payment Amount |
152803.04 |
Total Medicare Standardized Payment Amount |
146624.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
375.96 |
Total Drug Medicare AllowedAmount |
167.1 |
Total Drug Medicare PaymentAmount |
120.65 |
Total Drug Medicare Standardized Payment Amount |
120.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1406 |
Number Of Medicare Beneficiaries With Medical Services |
870 |
Total Medical Submitted Charge Amount |
394915.38 |
Total Medical Medicare Allowed Amount |
202626.28 |
Total Medical Medicare Payment Amount |
152682.39 |
Total Medical Medicare Standardized Payment Amount |
146504.21 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
408 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
427 |
Number Of Non Hispanic White Beneficiaries |
749 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
479 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
391 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
50 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4291 |