National Provider Identifier [NPI]: |
1184605495 |
Last Name Of The Provider |
RODRIGUEZ-MARTIN |
First Name Of The Provider |
ARTURO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD PL |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22099 ELMIRA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339527018 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
5511 |
Number Of Medicare Beneficiaries |
573 |
Total Submitted Charge Amount |
621310.41 |
Total Medicare Allowed Amount |
315748.32 |
Total Medicare Payment Amount |
232933.08 |
Total Medicare Standardized Payment Amount |
232912.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
302 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
8287.96 |
Total Drug Medicare AllowedAmount |
1167.18 |
Total Drug Medicare PaymentAmount |
992.47 |
Total Drug Medicare Standardized Payment Amount |
992.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
5209 |
Number Of Medicare Beneficiaries With Medical Services |
573 |
Total Medical Submitted Charge Amount |
613022.45 |
Total Medical Medicare Allowed Amount |
314581.14 |
Total Medical Medicare Payment Amount |
231940.61 |
Total Medical Medicare Standardized Payment Amount |
231919.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
190 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
321 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
474 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
469 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5157 |