National Provider Identifier [NPI]: |
1073636197 |
Last Name Of The Provider |
BERMUDEZ |
First Name Of The Provider |
EDMUND |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1540 S TAMIAMI TRL STE 401 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342392921 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
7828 |
Number Of Medicare Beneficiaries |
2296 |
Total Submitted Charge Amount |
1870510.3 |
Total Medicare Allowed Amount |
819105.91 |
Total Medicare Payment Amount |
625570.03 |
Total Medicare Standardized Payment Amount |
626433.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
639 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
44731.04 |
Total Drug Medicare AllowedAmount |
32107.67 |
Total Drug Medicare PaymentAmount |
24803.43 |
Total Drug Medicare Standardized Payment Amount |
24803.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
7189 |
Number Of Medicare Beneficiaries With Medical Services |
2296 |
Total Medical Submitted Charge Amount |
1825779.26 |
Total Medical Medicare Allowed Amount |
786998.24 |
Total Medical Medicare Payment Amount |
600766.6 |
Total Medical Medicare Standardized Payment Amount |
601629.89 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
810 |
Number Of Beneficiaries Age 75 to 84 |
915 |
Number Of Beneficiaries Age Greater 84 |
496 |
Number Of Female Beneficiaries |
1083 |
Number Of Male Beneficiaries |
1213 |
Number Of Non Hispanic White Beneficiaries |
2227 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2138 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5412 |