National Provider Identifier [NPI]: |
1396725362 |
Last Name Of The Provider |
SALADINO |
First Name Of The Provider |
CARL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6420 3RD ST |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
ROCKLEDGE |
Zip Code Of The Provider |
329555788 |
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 |
92 |
Number Of Services |
7780 |
Number Of Medicare Beneficiaries |
389 |
Total Submitted Charge Amount |
829578 |
Total Medicare Allowed Amount |
429020.47 |
Total Medicare Payment Amount |
327885.28 |
Total Medicare Standardized Payment Amount |
325449.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1278 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
24619 |
Total Drug Medicare AllowedAmount |
14501.98 |
Total Drug Medicare PaymentAmount |
13584.37 |
Total Drug Medicare Standardized Payment Amount |
13584.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
6502 |
Number Of Medicare Beneficiaries With Medical Services |
389 |
Total Medical Submitted Charge Amount |
804959 |
Total Medical Medicare Allowed Amount |
414518.49 |
Total Medical Medicare Payment Amount |
314300.91 |
Total Medical Medicare Standardized Payment Amount |
311865.15 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
190 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
363 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
33 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1578 |