National Provider Identifier [NPI]: |
1033380548 |
Last Name Of The Provider |
GUNASEKERA |
First Name Of The Provider |
LUSHANTHA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1717 S ORANGE AVE |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328062944 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
5846 |
Number Of Medicare Beneficiaries |
1229 |
Total Submitted Charge Amount |
1057842 |
Total Medicare Allowed Amount |
373241.5 |
Total Medicare Payment Amount |
274910.36 |
Total Medicare Standardized Payment Amount |
276136.9 |
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 |
42 |
Number Of Medical Services |
5846 |
Number Of Medicare Beneficiaries With Medical Services |
1229 |
Total Medical Submitted Charge Amount |
1057842 |
Total Medical Medicare Allowed Amount |
373241.5 |
Total Medical Medicare Payment Amount |
274910.36 |
Total Medical Medicare Standardized Payment Amount |
276136.9 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
474 |
Number Of Beneficiaries Age 75 to 84 |
444 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
632 |
Number Of Male Beneficiaries |
597 |
Number Of Non Hispanic White Beneficiaries |
1019 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1046 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
183 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6961 |