National Provider Identifier [NPI]: |
1891741534 |
Last Name Of The Provider |
GETZELS |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3333 CATTLEMEN RD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326056 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
13826 |
Number Of Medicare Beneficiaries |
1416 |
Total Submitted Charge Amount |
1147110 |
Total Medicare Allowed Amount |
554025.68 |
Total Medicare Payment Amount |
430119.31 |
Total Medicare Standardized Payment Amount |
433209.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
213 |
Number Of Medicare Beneficiaries With Drug Services |
157 |
Total Drug Submitted ChargeAmount |
10307 |
Total Drug Medicare AllowedAmount |
5286.64 |
Total Drug Medicare PaymentAmount |
5116.94 |
Total Drug Medicare Standardized Payment Amount |
5116.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
13613 |
Number Of Medicare Beneficiaries With Medical Services |
1416 |
Total Medical Submitted Charge Amount |
1136803 |
Total Medical Medicare Allowed Amount |
548739.04 |
Total Medical Medicare Payment Amount |
425002.37 |
Total Medical Medicare Standardized Payment Amount |
428092.88 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
577 |
Number Of Beneficiaries Age 75 to 84 |
489 |
Number Of Beneficiaries Age Greater 84 |
299 |
Number Of Female Beneficiaries |
779 |
Number Of Male Beneficiaries |
637 |
Number Of Non Hispanic White Beneficiaries |
1358 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1173 |