National Provider Identifier [NPI]: |
1548207426 |
Last Name Of The Provider |
FERREIRA |
First Name Of The Provider |
CLAUDIO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4101 EVANS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
33901 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
23830 |
Number Of Medicare Beneficiaries |
1294 |
Total Submitted Charge Amount |
3591986.5 |
Total Medicare Allowed Amount |
2015863.75 |
Total Medicare Payment Amount |
1537700.51 |
Total Medicare Standardized Payment Amount |
1501448.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
5562 |
Number Of Medicare Beneficiaries With Drug Services |
133 |
Total Drug Submitted ChargeAmount |
709303.9 |
Total Drug Medicare AllowedAmount |
476085.33 |
Total Drug Medicare PaymentAmount |
373249.9 |
Total Drug Medicare Standardized Payment Amount |
373249.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
18268 |
Number Of Medicare Beneficiaries With Medical Services |
1294 |
Total Medical Submitted Charge Amount |
2882682.6 |
Total Medical Medicare Allowed Amount |
1539778.42 |
Total Medical Medicare Payment Amount |
1164450.61 |
Total Medical Medicare Standardized Payment Amount |
1128198.65 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
472 |
Number Of Beneficiaries Age 75 to 84 |
433 |
Number Of Beneficiaries Age Greater 84 |
273 |
Number Of Female Beneficiaries |
736 |
Number Of Male Beneficiaries |
558 |
Number Of Non Hispanic White Beneficiaries |
944 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
235 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
961 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
333 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3892 |