National Provider Identifier [NPI]: |
1225037146 |
Last Name Of The Provider |
ARNOLD |
First Name Of The Provider |
ANITA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9800 S. HEALTHPARK DRIVE |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339083630 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
2610 |
Number Of Medicare Beneficiaries |
1587 |
Total Submitted Charge Amount |
170538 |
Total Medicare Allowed Amount |
60997.25 |
Total Medicare Payment Amount |
46623.91 |
Total Medicare Standardized Payment Amount |
46371.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
2610 |
Number Of Medicare Beneficiaries With Medical Services |
1587 |
Total Medical Submitted Charge Amount |
170538 |
Total Medical Medicare Allowed Amount |
60997.25 |
Total Medical Medicare Payment Amount |
46623.91 |
Total Medical Medicare Standardized Payment Amount |
46371.15 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
213 |
Number Of Beneficiaries Age 65 to 74 |
795 |
Number Of Beneficiaries Age 75 to 84 |
468 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
762 |
Number Of Male Beneficiaries |
825 |
Number Of Non Hispanic White Beneficiaries |
1382 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
207 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.127 |