National Provider Identifier [NPI]: |
1881790541 |
Last Name Of The Provider |
POLITO |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2716 NE 14 STREET CAUSEWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
POMPANO BEACH |
Zip Code Of The Provider |
330623501 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
21680 |
Number Of Medicare Beneficiaries |
527 |
Total Submitted Charge Amount |
774478.04 |
Total Medicare Allowed Amount |
464976.43 |
Total Medicare Payment Amount |
377530.69 |
Total Medicare Standardized Payment Amount |
382593.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2070 |
Number Of Medicare Beneficiaries With Drug Services |
441 |
Total Drug Submitted ChargeAmount |
26957.84 |
Total Drug Medicare AllowedAmount |
7315.6 |
Total Drug Medicare PaymentAmount |
6014.03 |
Total Drug Medicare Standardized Payment Amount |
6014.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
19610 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
747520.2 |
Total Medical Medicare Allowed Amount |
457660.83 |
Total Medical Medicare Payment Amount |
371516.66 |
Total Medical Medicare Standardized Payment Amount |
376579.2 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
497 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
512 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9479 |