National Provider Identifier [NPI]: |
1902831555 |
Last Name Of The Provider |
MUNERA |
First Name Of The Provider |
FELIPE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E ROLLINS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031248 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
2861 |
Number Of Medicare Beneficiaries |
1852 |
Total Submitted Charge Amount |
449553 |
Total Medicare Allowed Amount |
107705.44 |
Total Medicare Payment Amount |
80607.6 |
Total Medicare Standardized Payment Amount |
76177.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
2861 |
Number Of Medicare Beneficiaries With Medical Services |
1852 |
Total Medical Submitted Charge Amount |
449553 |
Total Medical Medicare Allowed Amount |
107705.44 |
Total Medical Medicare Payment Amount |
80607.6 |
Total Medical Medicare Standardized Payment Amount |
76177.6 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
452 |
Number Of Beneficiaries Age 65 to 74 |
593 |
Number Of Beneficiaries Age 75 to 84 |
495 |
Number Of Beneficiaries Age Greater 84 |
312 |
Number Of Female Beneficiaries |
907 |
Number Of Male Beneficiaries |
945 |
Number Of Non Hispanic White Beneficiaries |
408 |
Number Of Black or African American Beneficiaries |
360 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
1059 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
515 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1337 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.9653 |