National Provider Identifier [NPI]: |
1043258890 |
Last Name Of The Provider |
WEISS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
63 BARKLEY CIR |
Street Address 2 Of The Provider |
STE. 100 & 101 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339074514 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
192 |
Number Of Services |
14518 |
Number Of Medicare Beneficiaries |
7894 |
Total Submitted Charge Amount |
914765 |
Total Medicare Allowed Amount |
348294.66 |
Total Medicare Payment Amount |
269173.95 |
Total Medicare Standardized Payment Amount |
262248.8 |
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 |
192 |
Number Of Medical Services |
14518 |
Number Of Medicare Beneficiaries With Medical Services |
7894 |
Total Medical Submitted Charge Amount |
914765 |
Total Medical Medicare Allowed Amount |
348294.66 |
Total Medical Medicare Payment Amount |
269173.95 |
Total Medical Medicare Standardized Payment Amount |
262248.8 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
903 |
Number Of Beneficiaries Age 65 to 74 |
2579 |
Number Of Beneficiaries Age 75 to 84 |
2642 |
Number Of Beneficiaries Age Greater 84 |
1770 |
Number Of Female Beneficiaries |
4044 |
Number Of Male Beneficiaries |
3850 |
Number Of Non Hispanic White Beneficiaries |
7075 |
Number Of Black or African American Beneficiaries |
251 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
440 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
85 |
Number Of Beneficiaries With Medicare Only Entitlement |
6559 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1335 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6646 |