National Provider Identifier [NPI]: |
1245222678 |
Last Name Of The Provider |
TREIMAN |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1921 WALDEMERE ST |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342392943 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
1804 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
297922.6 |
Total Medicare Allowed Amount |
88636.72 |
Total Medicare Payment Amount |
57931.53 |
Total Medicare Standardized Payment Amount |
58725.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
26166.85 |
Total Drug Medicare AllowedAmount |
7841.02 |
Total Drug Medicare PaymentAmount |
5962.24 |
Total Drug Medicare Standardized Payment Amount |
5962.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
1727 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
271755.75 |
Total Medical Medicare Allowed Amount |
80795.7 |
Total Medical Medicare Payment Amount |
51969.29 |
Total Medical Medicare Standardized Payment Amount |
52763.53 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
47 |
Number Of Male Beneficiaries |
516 |
Number Of Non Hispanic White Beneficiaries |
542 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
32 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2329 |