National Provider Identifier [NPI]: |
1083727317 |
Last Name Of The Provider |
BUTT |
First Name Of The Provider |
ATTA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1840 MEASE DR |
Street Address 2 Of The Provider |
SUITE 402 |
City Of The Provider |
SAFETY HARBOR |
Zip Code Of The Provider |
34695 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
3553 |
Number Of Medicare Beneficiaries |
358 |
Total Submitted Charge Amount |
361540.03 |
Total Medicare Allowed Amount |
244223.19 |
Total Medicare Payment Amount |
184579.44 |
Total Medicare Standardized Payment Amount |
185601.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
396 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
10535 |
Total Drug Medicare AllowedAmount |
3211.12 |
Total Drug Medicare PaymentAmount |
2937.61 |
Total Drug Medicare Standardized Payment Amount |
2937.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3157 |
Number Of Medicare Beneficiaries With Medical Services |
358 |
Total Medical Submitted Charge Amount |
351005.03 |
Total Medical Medicare Allowed Amount |
241012.07 |
Total Medical Medicare Payment Amount |
181641.83 |
Total Medical Medicare Standardized Payment Amount |
182664.11 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
328 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.434 |