National Provider Identifier [NPI]: |
1366418774 |
Last Name Of The Provider |
HOBDARI |
First Name Of The Provider |
LINDITA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1890 SW HEALTH PKWY |
Street Address 2 Of The Provider |
#201 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341090473 |
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 |
93 |
Number Of Services |
17211 |
Number Of Medicare Beneficiaries |
651 |
Total Submitted Charge Amount |
1780354.54 |
Total Medicare Allowed Amount |
828591.91 |
Total Medicare Payment Amount |
627563.35 |
Total Medicare Standardized Payment Amount |
605684.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
6954 |
Number Of Medicare Beneficiaries With Drug Services |
456 |
Total Drug Submitted ChargeAmount |
75157 |
Total Drug Medicare AllowedAmount |
21337.72 |
Total Drug Medicare PaymentAmount |
17349.22 |
Total Drug Medicare Standardized Payment Amount |
17349.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
10257 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
1705197.54 |
Total Medical Medicare Allowed Amount |
807254.19 |
Total Medical Medicare Payment Amount |
610214.13 |
Total Medical Medicare Standardized Payment Amount |
588335.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
389 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
625 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
615 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8869 |