National Provider Identifier [NPI]: |
1568469146 |
Last Name Of The Provider |
SADLER |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20 W KALEY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328062931 |
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 |
154 |
Number Of Services |
4843 |
Number Of Medicare Beneficiaries |
3252 |
Total Submitted Charge Amount |
731006 |
Total Medicare Allowed Amount |
205778.43 |
Total Medicare Payment Amount |
150235.76 |
Total Medicare Standardized Payment Amount |
152802.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
154 |
Number Of Medical Services |
4843 |
Number Of Medicare Beneficiaries With Medical Services |
3252 |
Total Medical Submitted Charge Amount |
731006 |
Total Medical Medicare Allowed Amount |
205778.43 |
Total Medical Medicare Payment Amount |
150235.76 |
Total Medical Medicare Standardized Payment Amount |
152802.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
658 |
Number Of Beneficiaries Age 65 to 74 |
1010 |
Number Of Beneficiaries Age 75 to 84 |
988 |
Number Of Beneficiaries Age Greater 84 |
596 |
Number Of Female Beneficiaries |
1770 |
Number Of Male Beneficiaries |
1482 |
Number Of Non Hispanic White Beneficiaries |
2353 |
Number Of Black or African American Beneficiaries |
469 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
338 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
956 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.2925 |