National Provider Identifier [NPI]: |
1578659579 |
Last Name Of The Provider |
SHNITSER |
First Name Of The Provider |
NATALIE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
611 DRUID RD E |
Street Address 2 Of The Provider |
STE 511 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563959 |
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 |
27 |
Number Of Services |
1577 |
Number Of Medicare Beneficiaries |
363 |
Total Submitted Charge Amount |
183042 |
Total Medicare Allowed Amount |
146086.08 |
Total Medicare Payment Amount |
97408.63 |
Total Medicare Standardized Payment Amount |
97649.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1089 |
Total Drug Medicare AllowedAmount |
725.5 |
Total Drug Medicare PaymentAmount |
705.85 |
Total Drug Medicare Standardized Payment Amount |
705.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1554 |
Number Of Medicare Beneficiaries With Medical Services |
363 |
Total Medical Submitted Charge Amount |
181953 |
Total Medical Medicare Allowed Amount |
145360.58 |
Total Medical Medicare Payment Amount |
96702.78 |
Total Medical Medicare Standardized Payment Amount |
96943.53 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
327 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
299 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1925 |