National Provider Identifier [NPI]: |
1891971271 |
Last Name Of The Provider |
SEEVARATNAM |
First Name Of The Provider |
ANDREW |
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 |
1834 SW 1ST AVE STE 101 |
Street Address 2 Of The Provider |
OCALA LUNG AND CRITICAL CARE |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344718101 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
4557 |
Number Of Medicare Beneficiaries |
1081 |
Total Submitted Charge Amount |
598022.85 |
Total Medicare Allowed Amount |
448863.1 |
Total Medicare Payment Amount |
348261.8 |
Total Medicare Standardized Payment Amount |
348360.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
500 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
12500 |
Total Drug Medicare AllowedAmount |
12171.6 |
Total Drug Medicare PaymentAmount |
9576.2 |
Total Drug Medicare Standardized Payment Amount |
9576.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4057 |
Number Of Medicare Beneficiaries With Medical Services |
1081 |
Total Medical Submitted Charge Amount |
585522.85 |
Total Medical Medicare Allowed Amount |
436691.5 |
Total Medical Medicare Payment Amount |
338685.6 |
Total Medical Medicare Standardized Payment Amount |
338783.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
370 |
Number Of Beneficiaries Age 75 to 84 |
357 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
542 |
Number Of Male Beneficiaries |
539 |
Number Of Non Hispanic White Beneficiaries |
971 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
811 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
65 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.473 |