National Provider Identifier [NPI]: |
1669508883 |
Last Name Of The Provider |
TRIOLA |
First Name Of The Provider |
BRIAN |
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 |
4130 TAMIAMI TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339529207 |
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 |
150 |
Number Of Services |
22643 |
Number Of Medicare Beneficiaries |
1096 |
Total Submitted Charge Amount |
2327868.28 |
Total Medicare Allowed Amount |
1259468.18 |
Total Medicare Payment Amount |
982794.39 |
Total Medicare Standardized Payment Amount |
997100.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
14308 |
Number Of Medicare Beneficiaries With Drug Services |
304 |
Total Drug Submitted ChargeAmount |
92430 |
Total Drug Medicare AllowedAmount |
40231.68 |
Total Drug Medicare PaymentAmount |
31419.44 |
Total Drug Medicare Standardized Payment Amount |
31419.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
8335 |
Number Of Medicare Beneficiaries With Medical Services |
1096 |
Total Medical Submitted Charge Amount |
2235438.28 |
Total Medical Medicare Allowed Amount |
1219236.5 |
Total Medical Medicare Payment Amount |
951374.95 |
Total Medical Medicare Standardized Payment Amount |
965681.32 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
429 |
Number Of Beneficiaries Age 75 to 84 |
380 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
495 |
Number Of Male Beneficiaries |
601 |
Number Of Non Hispanic White Beneficiaries |
1016 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
967 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7128 |