National Provider Identifier [NPI]: |
1437146172 |
Last Name Of The Provider |
SAUNDERS |
First Name Of The Provider |
HOLLY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20 W KALEY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328062931 |
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 |
173 |
Number Of Services |
5948 |
Number Of Medicare Beneficiaries |
3568 |
Total Submitted Charge Amount |
549027 |
Total Medicare Allowed Amount |
157687.31 |
Total Medicare Payment Amount |
118360.74 |
Total Medicare Standardized Payment Amount |
118119.92 |
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 |
173 |
Number Of Medical Services |
5948 |
Number Of Medicare Beneficiaries With Medical Services |
3568 |
Total Medical Submitted Charge Amount |
549027 |
Total Medical Medicare Allowed Amount |
157687.31 |
Total Medical Medicare Payment Amount |
118360.74 |
Total Medical Medicare Standardized Payment Amount |
118119.92 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
525 |
Number Of Beneficiaries Age 65 to 74 |
1446 |
Number Of Beneficiaries Age 75 to 84 |
1072 |
Number Of Beneficiaries Age Greater 84 |
525 |
Number Of Female Beneficiaries |
2398 |
Number Of Male Beneficiaries |
1170 |
Number Of Non Hispanic White Beneficiaries |
2672 |
Number Of Black or African American Beneficiaries |
431 |
Number Of AsianPacific Islander Beneficiaries |
61 |
Number Of Hispanic Beneficiaries |
343 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
800 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8962 |