National Provider Identifier [NPI]: |
1316944416 |
Last Name Of The Provider |
SAENZ |
First Name Of The Provider |
CARLOS |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1613 N MILLS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031849 |
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 |
45 |
Number Of Services |
4430 |
Number Of Medicare Beneficiaries |
1058 |
Total Submitted Charge Amount |
876163 |
Total Medicare Allowed Amount |
377429.3 |
Total Medicare Payment Amount |
287232.24 |
Total Medicare Standardized Payment Amount |
290295.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
656 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
22001 |
Total Drug Medicare AllowedAmount |
7747.13 |
Total Drug Medicare PaymentAmount |
6073.65 |
Total Drug Medicare Standardized Payment Amount |
6073.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3774 |
Number Of Medicare Beneficiaries With Medical Services |
1058 |
Total Medical Submitted Charge Amount |
854162 |
Total Medical Medicare Allowed Amount |
369682.17 |
Total Medical Medicare Payment Amount |
281158.59 |
Total Medical Medicare Standardized Payment Amount |
284222.22 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
357 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
570 |
Number Of Male Beneficiaries |
488 |
Number Of Non Hispanic White Beneficiaries |
762 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
161 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
837 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
221 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0975 |