National Provider Identifier [NPI]: |
1699717215 |
Last Name Of The Provider |
TRANT |
First Name Of The Provider |
JUSTIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 SW ARCHER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326103003 |
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 |
194 |
Number Of Services |
13597 |
Number Of Medicare Beneficiaries |
4465 |
Total Submitted Charge Amount |
1257785 |
Total Medicare Allowed Amount |
293655.16 |
Total Medicare Payment Amount |
225398.99 |
Total Medicare Standardized Payment Amount |
241686.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6669 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
7154 |
Total Drug Medicare AllowedAmount |
1638.84 |
Total Drug Medicare PaymentAmount |
1251.94 |
Total Drug Medicare Standardized Payment Amount |
1251.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
192 |
Number Of Medical Services |
6928 |
Number Of Medicare Beneficiaries With Medical Services |
4465 |
Total Medical Submitted Charge Amount |
1250631 |
Total Medical Medicare Allowed Amount |
292016.32 |
Total Medical Medicare Payment Amount |
224147.05 |
Total Medical Medicare Standardized Payment Amount |
240434.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
709 |
Number Of Beneficiaries Age 65 to 74 |
1723 |
Number Of Beneficiaries Age 75 to 84 |
1380 |
Number Of Beneficiaries Age Greater 84 |
653 |
Number Of Female Beneficiaries |
2874 |
Number Of Male Beneficiaries |
1591 |
Number Of Non Hispanic White Beneficiaries |
3477 |
Number Of Black or African American Beneficiaries |
651 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
294 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
3412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1053 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4749 |