National Provider Identifier [NPI]: |
1073628848 |
Last Name Of The Provider |
TZILINIS |
First Name Of The Provider |
CRISTINA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1660 MEDICAL BLVD |
Street Address 2 Of The Provider |
SUITE #300 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341101413 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
624 |
Number Of Medicare Beneficiaries |
199 |
Total Submitted Charge Amount |
94925 |
Total Medicare Allowed Amount |
34935.72 |
Total Medicare Payment Amount |
26463 |
Total Medicare Standardized Payment Amount |
25410.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
135 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
3930 |
Total Drug Medicare AllowedAmount |
1845.78 |
Total Drug Medicare PaymentAmount |
1469.97 |
Total Drug Medicare Standardized Payment Amount |
1469.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
489 |
Number Of Medicare Beneficiaries With Medical Services |
199 |
Total Medical Submitted Charge Amount |
90995 |
Total Medical Medicare Allowed Amount |
33089.94 |
Total Medical Medicare Payment Amount |
24993.03 |
Total Medical Medicare Standardized Payment Amount |
23940.61 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
199 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7778 |