National Provider Identifier [NPI]: |
1336197052 |
Last Name Of The Provider |
YOUNATHAN |
First Name Of The Provider |
CAROL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6716 NW 11TH PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054215 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
207 |
Number Of Services |
4948 |
Number Of Medicare Beneficiaries |
2192 |
Total Submitted Charge Amount |
684371 |
Total Medicare Allowed Amount |
295853.67 |
Total Medicare Payment Amount |
234927.01 |
Total Medicare Standardized Payment Amount |
240445.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1470 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
5867 |
Total Drug Medicare AllowedAmount |
2495.18 |
Total Drug Medicare PaymentAmount |
1956.26 |
Total Drug Medicare Standardized Payment Amount |
1956.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
200 |
Number Of Medical Services |
3478 |
Number Of Medicare Beneficiaries With Medical Services |
2192 |
Total Medical Submitted Charge Amount |
678504 |
Total Medical Medicare Allowed Amount |
293358.49 |
Total Medical Medicare Payment Amount |
232970.75 |
Total Medical Medicare Standardized Payment Amount |
238489.1 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
322 |
Number Of Beneficiaries Age 65 to 74 |
847 |
Number Of Beneficiaries Age 75 to 84 |
715 |
Number Of Beneficiaries Age Greater 84 |
308 |
Number Of Female Beneficiaries |
1462 |
Number Of Male Beneficiaries |
730 |
Number Of Non Hispanic White Beneficiaries |
1854 |
Number Of Black or African American Beneficiaries |
263 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1650 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
542 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.835 |