National Provider Identifier [NPI]: |
1962451237 |
Last Name Of The Provider |
WARE |
First Name Of The Provider |
DAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6716 NW 11TH PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054215 |
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 |
244 |
Number Of Services |
12996 |
Number Of Medicare Beneficiaries |
2937 |
Total Submitted Charge Amount |
1483301 |
Total Medicare Allowed Amount |
615468.81 |
Total Medicare Payment Amount |
475459.25 |
Total Medicare Standardized Payment Amount |
485045.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
8150 |
Number Of Medicare Beneficiaries With Drug Services |
266 |
Total Drug Submitted ChargeAmount |
36917 |
Total Drug Medicare AllowedAmount |
8929.38 |
Total Drug Medicare PaymentAmount |
6981.88 |
Total Drug Medicare Standardized Payment Amount |
6981.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
230 |
Number Of Medical Services |
4846 |
Number Of Medicare Beneficiaries With Medical Services |
2935 |
Total Medical Submitted Charge Amount |
1446384 |
Total Medical Medicare Allowed Amount |
606539.43 |
Total Medical Medicare Payment Amount |
468477.37 |
Total Medical Medicare Standardized Payment Amount |
478063.32 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
422 |
Number Of Beneficiaries Age 65 to 74 |
1125 |
Number Of Beneficiaries Age 75 to 84 |
961 |
Number Of Beneficiaries Age Greater 84 |
429 |
Number Of Female Beneficiaries |
1765 |
Number Of Male Beneficiaries |
1172 |
Number Of Non Hispanic White Beneficiaries |
2460 |
Number Of Black or African American Beneficiaries |
372 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
2285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
652 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8742 |