National Provider Identifier [NPI]: |
1972513109 |
Last Name Of The Provider |
ARSENAULT |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8374 MARKET ST |
Street Address 2 Of The Provider |
# 402 |
City Of The Provider |
LAKEWOOD RANCH |
Zip Code Of The Provider |
342025137 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
14288 |
Number Of Medicare Beneficiaries |
2352 |
Total Submitted Charge Amount |
1155410.93 |
Total Medicare Allowed Amount |
963310.98 |
Total Medicare Payment Amount |
728495.09 |
Total Medicare Standardized Payment Amount |
726806.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
95 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
8060.45 |
Total Drug Medicare AllowedAmount |
8059.9 |
Total Drug Medicare PaymentAmount |
6136.56 |
Total Drug Medicare Standardized Payment Amount |
6136.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
14193 |
Number Of Medicare Beneficiaries With Medical Services |
2352 |
Total Medical Submitted Charge Amount |
1147350.48 |
Total Medical Medicare Allowed Amount |
955251.08 |
Total Medical Medicare Payment Amount |
722358.53 |
Total Medical Medicare Standardized Payment Amount |
720670.33 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
1456 |
Number Of Beneficiaries Age 75 to 84 |
674 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
1271 |
Number Of Male Beneficiaries |
1081 |
Number Of Non Hispanic White Beneficiaries |
2257 |
Number Of Black or African American Beneficiaries |
|
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 |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
2327 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8262 |