National Provider Identifier [NPI]: |
1528098555 |
Last Name Of The Provider |
FIOLA |
First Name Of The Provider |
FRANK |
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 |
6716 NW 11TH PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054215 |
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 |
183 |
Number Of Services |
13708 |
Number Of Medicare Beneficiaries |
3615 |
Total Submitted Charge Amount |
1476029.32 |
Total Medicare Allowed Amount |
552780.17 |
Total Medicare Payment Amount |
425934.49 |
Total Medicare Standardized Payment Amount |
434903.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
8373 |
Number Of Medicare Beneficiaries With Drug Services |
312 |
Total Drug Submitted ChargeAmount |
53786 |
Total Drug Medicare AllowedAmount |
4042.93 |
Total Drug Medicare PaymentAmount |
3124.94 |
Total Drug Medicare Standardized Payment Amount |
3124.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
173 |
Number Of Medical Services |
5335 |
Number Of Medicare Beneficiaries With Medical Services |
3611 |
Total Medical Submitted Charge Amount |
1422243.32 |
Total Medical Medicare Allowed Amount |
548737.24 |
Total Medical Medicare Payment Amount |
422809.55 |
Total Medical Medicare Standardized Payment Amount |
431778.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
542 |
Number Of Beneficiaries Age 65 to 74 |
1323 |
Number Of Beneficiaries Age 75 to 84 |
1165 |
Number Of Beneficiaries Age Greater 84 |
585 |
Number Of Female Beneficiaries |
2260 |
Number Of Male Beneficiaries |
1355 |
Number Of Non Hispanic White Beneficiaries |
3082 |
Number Of Black or African American Beneficiaries |
412 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2637 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
978 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7255 |