National Provider Identifier [NPI]: |
1821267386 |
Last Name Of The Provider |
GOGINENI |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
K |
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 |
Street Address 2 Of The Provider |
SUITE 101 |
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 |
50 |
Number Of Services |
6409 |
Number Of Medicare Beneficiaries |
1397 |
Total Submitted Charge Amount |
722993.07 |
Total Medicare Allowed Amount |
538924.62 |
Total Medicare Payment Amount |
415251.68 |
Total Medicare Standardized Payment Amount |
417130.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1344 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
33600 |
Total Drug Medicare AllowedAmount |
33205.92 |
Total Drug Medicare PaymentAmount |
26015.1 |
Total Drug Medicare Standardized Payment Amount |
26015.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
5065 |
Number Of Medicare Beneficiaries With Medical Services |
1397 |
Total Medical Submitted Charge Amount |
689393.07 |
Total Medical Medicare Allowed Amount |
505718.7 |
Total Medical Medicare Payment Amount |
389236.58 |
Total Medical Medicare Standardized Payment Amount |
391115.59 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
199 |
Number Of Beneficiaries Age 65 to 74 |
467 |
Number Of Beneficiaries Age 75 to 84 |
496 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
718 |
Number Of Male Beneficiaries |
679 |
Number Of Non Hispanic White Beneficiaries |
1231 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1059 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
338 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
65 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.3137 |