National Provider Identifier [NPI]: |
1255338893 |
Last Name Of The Provider |
MILUNSKI |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1613 N MILLS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031849 |
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 |
54 |
Number Of Services |
4437 |
Number Of Medicare Beneficiaries |
1426 |
Total Submitted Charge Amount |
751235 |
Total Medicare Allowed Amount |
309077.38 |
Total Medicare Payment Amount |
231004.13 |
Total Medicare Standardized Payment Amount |
232931.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
281 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
7803 |
Total Drug Medicare AllowedAmount |
2778.3 |
Total Drug Medicare PaymentAmount |
2178.16 |
Total Drug Medicare Standardized Payment Amount |
2178.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4156 |
Number Of Medicare Beneficiaries With Medical Services |
1426 |
Total Medical Submitted Charge Amount |
743432 |
Total Medical Medicare Allowed Amount |
306299.08 |
Total Medical Medicare Payment Amount |
228825.97 |
Total Medical Medicare Standardized Payment Amount |
230753.38 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
161 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
528 |
Number Of Beneficiaries Age Greater 84 |
278 |
Number Of Female Beneficiaries |
747 |
Number Of Male Beneficiaries |
679 |
Number Of Non Hispanic White Beneficiaries |
1163 |
Number Of Black or African American Beneficiaries |
135 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
100 |
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 |
1185 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0846 |