National Provider Identifier [NPI]: |
1821086240 |
Last Name Of The Provider |
STRAUSBAUGH |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9671 GLADIOLUS DR |
Street Address 2 Of The Provider |
SUITE 109 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339087684 |
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 |
80 |
Number Of Services |
12452 |
Number Of Medicare Beneficiaries |
920 |
Total Submitted Charge Amount |
882048 |
Total Medicare Allowed Amount |
485951.8 |
Total Medicare Payment Amount |
354359.77 |
Total Medicare Standardized Payment Amount |
342539.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
331 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
17592 |
Total Drug Medicare AllowedAmount |
11116.91 |
Total Drug Medicare PaymentAmount |
10746.77 |
Total Drug Medicare Standardized Payment Amount |
10746.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
12121 |
Number Of Medicare Beneficiaries With Medical Services |
920 |
Total Medical Submitted Charge Amount |
864456 |
Total Medical Medicare Allowed Amount |
474834.89 |
Total Medical Medicare Payment Amount |
343613 |
Total Medical Medicare Standardized Payment Amount |
331793.16 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
440 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
429 |
Number Of Non Hispanic White Beneficiaries |
888 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
895 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9416 |