National Provider Identifier [NPI]: |
1750544128 |
Last Name Of The Provider |
WARNER |
First Name Of The Provider |
CHRISTINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 WEBBER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342395237 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
10680 |
Number Of Medicare Beneficiaries |
4698 |
Total Submitted Charge Amount |
2413982 |
Total Medicare Allowed Amount |
647558.39 |
Total Medicare Payment Amount |
496364.66 |
Total Medicare Standardized Payment Amount |
394507 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
10680 |
Number Of Medicare Beneficiaries With Medical Services |
4698 |
Total Medical Submitted Charge Amount |
2413982 |
Total Medical Medicare Allowed Amount |
647558.39 |
Total Medical Medicare Payment Amount |
496364.66 |
Total Medical Medicare Standardized Payment Amount |
394507 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
1794 |
Number Of Beneficiaries Age 75 to 84 |
1834 |
Number Of Beneficiaries Age Greater 84 |
940 |
Number Of Female Beneficiaries |
2141 |
Number Of Male Beneficiaries |
2557 |
Number Of Non Hispanic White Beneficiaries |
4563 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
52 |
Number Of Beneficiaries With Medicare Only Entitlement |
4541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1242 |