National Provider Identifier [NPI]: |
1720085939 |
Last Name Of The Provider |
SOKOLIK |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
38135 MARKET SQ |
Street Address 2 Of The Provider |
|
City Of The Provider |
ZEPHYRHILLS |
Zip Code Of The Provider |
335427505 |
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 |
177 |
Number Of Services |
39211 |
Number Of Medicare Beneficiaries |
2922 |
Total Submitted Charge Amount |
1571619.8 |
Total Medicare Allowed Amount |
595614.26 |
Total Medicare Payment Amount |
464320.09 |
Total Medicare Standardized Payment Amount |
480479.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
34375 |
Number Of Medicare Beneficiaries With Drug Services |
383 |
Total Drug Submitted ChargeAmount |
40862.5 |
Total Drug Medicare AllowedAmount |
9509.94 |
Total Drug Medicare PaymentAmount |
7441.7 |
Total Drug Medicare Standardized Payment Amount |
7441.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
170 |
Number Of Medical Services |
4836 |
Number Of Medicare Beneficiaries With Medical Services |
2922 |
Total Medical Submitted Charge Amount |
1530757.3 |
Total Medical Medicare Allowed Amount |
586104.32 |
Total Medical Medicare Payment Amount |
456878.39 |
Total Medical Medicare Standardized Payment Amount |
473037.69 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
345 |
Number Of Beneficiaries Age 65 to 74 |
1371 |
Number Of Beneficiaries Age 75 to 84 |
925 |
Number Of Beneficiaries Age Greater 84 |
281 |
Number Of Female Beneficiaries |
1816 |
Number Of Male Beneficiaries |
1106 |
Number Of Non Hispanic White Beneficiaries |
2610 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
164 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
2612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3248 |