National Provider Identifier [NPI]: |
1144361908 |
Last Name Of The Provider |
SWARTZ |
First Name Of The Provider |
DOUGLAS |
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 |
710 LOMAX ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322044004 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
11448 |
Number Of Medicare Beneficiaries |
1230 |
Total Submitted Charge Amount |
1012354 |
Total Medicare Allowed Amount |
472310.39 |
Total Medicare Payment Amount |
359338.6 |
Total Medicare Standardized Payment Amount |
363502.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
6398 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
319599 |
Total Drug Medicare AllowedAmount |
117448.35 |
Total Drug Medicare PaymentAmount |
91689.11 |
Total Drug Medicare Standardized Payment Amount |
91689.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
5050 |
Number Of Medicare Beneficiaries With Medical Services |
1230 |
Total Medical Submitted Charge Amount |
692755 |
Total Medical Medicare Allowed Amount |
354862.04 |
Total Medical Medicare Payment Amount |
267649.49 |
Total Medical Medicare Standardized Payment Amount |
271813.63 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
567 |
Number Of Beneficiaries Age 75 to 84 |
429 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
1009 |
Number Of Non Hispanic White Beneficiaries |
966 |
Number Of Black or African American Beneficiaries |
211 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1127 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5266 |