National Provider Identifier [NPI]: |
1720089204 |
Last Name Of The Provider |
MOLLOD |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 ARLINGTON ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342393513 |
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 |
63 |
Number Of Services |
9452 |
Number Of Medicare Beneficiaries |
3229 |
Total Submitted Charge Amount |
1621917.29 |
Total Medicare Allowed Amount |
835149.72 |
Total Medicare Payment Amount |
629921.48 |
Total Medicare Standardized Payment Amount |
638176.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
773 |
Number Of Medicare Beneficiaries With Drug Services |
170 |
Total Drug Submitted ChargeAmount |
6615 |
Total Drug Medicare AllowedAmount |
2090.85 |
Total Drug Medicare PaymentAmount |
1635.78 |
Total Drug Medicare Standardized Payment Amount |
1635.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
8679 |
Number Of Medicare Beneficiaries With Medical Services |
3229 |
Total Medical Submitted Charge Amount |
1615302.29 |
Total Medical Medicare Allowed Amount |
833058.87 |
Total Medical Medicare Payment Amount |
628285.7 |
Total Medical Medicare Standardized Payment Amount |
636540.5 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
1126 |
Number Of Beneficiaries Age 75 to 84 |
1196 |
Number Of Beneficiaries Age Greater 84 |
734 |
Number Of Female Beneficiaries |
1478 |
Number Of Male Beneficiaries |
1751 |
Number Of Non Hispanic White Beneficiaries |
3014 |
Number Of Black or African American Beneficiaries |
114 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2907 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
322 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5259 |