National Provider Identifier [NPI]: |
1023213089 |
Last Name Of The Provider |
VELIZ |
First Name Of The Provider |
MARAYS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E DIXIE AVE |
Street Address 2 Of The Provider |
1001 |
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347485953 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
171 |
Number Of Services |
329350 |
Number Of Medicare Beneficiaries |
1115 |
Total Submitted Charge Amount |
6609958 |
Total Medicare Allowed Amount |
2598402.4 |
Total Medicare Payment Amount |
2049038.31 |
Total Medicare Standardized Payment Amount |
2038315.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
314640 |
Number Of Medicare Beneficiaries With Drug Services |
459 |
Total Drug Submitted ChargeAmount |
5103057 |
Total Drug Medicare AllowedAmount |
2023023.29 |
Total Drug Medicare PaymentAmount |
1585067.8 |
Total Drug Medicare Standardized Payment Amount |
1585067.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
14710 |
Number Of Medicare Beneficiaries With Medical Services |
1115 |
Total Medical Submitted Charge Amount |
1506901 |
Total Medical Medicare Allowed Amount |
575379.11 |
Total Medical Medicare Payment Amount |
463970.51 |
Total Medical Medicare Standardized Payment Amount |
453248.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
436 |
Number Of Beneficiaries Age 75 to 84 |
456 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
554 |
Number Of Non Hispanic White Beneficiaries |
1019 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
969 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
36 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.4546 |