National Provider Identifier [NPI]: |
1669473518 |
Last Name Of The Provider |
LOUNDY |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5831 BEE RIDGE RD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342335088 |
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 |
56 |
Number Of Services |
3879 |
Number Of Medicare Beneficiaries |
922 |
Total Submitted Charge Amount |
620415.77 |
Total Medicare Allowed Amount |
314040.76 |
Total Medicare Payment Amount |
240882.08 |
Total Medicare Standardized Payment Amount |
242924.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
184 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
10226 |
Total Drug Medicare AllowedAmount |
4932.93 |
Total Drug Medicare PaymentAmount |
4801.52 |
Total Drug Medicare Standardized Payment Amount |
4801.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3695 |
Number Of Medicare Beneficiaries With Medical Services |
922 |
Total Medical Submitted Charge Amount |
610189.77 |
Total Medical Medicare Allowed Amount |
309107.83 |
Total Medical Medicare Payment Amount |
236080.56 |
Total Medical Medicare Standardized Payment Amount |
238122.94 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
467 |
Number Of Non Hispanic White Beneficiaries |
889 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
857 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1409 |