National Provider Identifier [NPI]: |
1568458388 |
Last Name Of The Provider |
PIZARRO |
First Name Of The Provider |
JOSE |
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 |
6503 CARTMEL LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINDERMERE |
Zip Code Of The Provider |
347865423 |
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 |
129 |
Number Of Services |
17574 |
Number Of Medicare Beneficiaries |
1393 |
Total Submitted Charge Amount |
1278199 |
Total Medicare Allowed Amount |
310186.75 |
Total Medicare Payment Amount |
235389.82 |
Total Medicare Standardized Payment Amount |
246282.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15677 |
Number Of Medicare Beneficiaries With Drug Services |
307 |
Total Drug Submitted ChargeAmount |
54624 |
Total Drug Medicare AllowedAmount |
7015.29 |
Total Drug Medicare PaymentAmount |
5339.7 |
Total Drug Medicare Standardized Payment Amount |
5339.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
1897 |
Number Of Medicare Beneficiaries With Medical Services |
1376 |
Total Medical Submitted Charge Amount |
1223575 |
Total Medical Medicare Allowed Amount |
303171.46 |
Total Medical Medicare Payment Amount |
230050.12 |
Total Medical Medicare Standardized Payment Amount |
240943.24 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
309 |
Number Of Beneficiaries Age 65 to 74 |
610 |
Number Of Beneficiaries Age 75 to 84 |
367 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
863 |
Number Of Male Beneficiaries |
530 |
Number Of Non Hispanic White Beneficiaries |
791 |
Number Of Black or African American Beneficiaries |
189 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
346 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1043 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
350 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2446 |