National Provider Identifier [NPI]: |
1649221672 |
Last Name Of The Provider |
FEINGOLD |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1007 JEFFORDS ST |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
33756 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
3496 |
Number Of Medicare Beneficiaries |
516 |
Total Submitted Charge Amount |
442881 |
Total Medicare Allowed Amount |
259848.39 |
Total Medicare Payment Amount |
200400.41 |
Total Medicare Standardized Payment Amount |
201235.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
246 |
Number Of Medicare Beneficiaries With Drug Services |
220 |
Total Drug Submitted ChargeAmount |
20234 |
Total Drug Medicare AllowedAmount |
9702 |
Total Drug Medicare PaymentAmount |
9465.07 |
Total Drug Medicare Standardized Payment Amount |
9465.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3250 |
Number Of Medicare Beneficiaries With Medical Services |
516 |
Total Medical Submitted Charge Amount |
422647 |
Total Medical Medicare Allowed Amount |
250146.39 |
Total Medical Medicare Payment Amount |
190935.34 |
Total Medical Medicare Standardized Payment Amount |
191770.1 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
263 |
Number Of Male Beneficiaries |
253 |
Number Of Non Hispanic White Beneficiaries |
493 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
497 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3226 |