National Provider Identifier [NPI]: |
1164483376 |
Last Name Of The Provider |
RUCINSKI |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1710 SE 16TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344714656 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
13379 |
Number Of Medicare Beneficiaries |
1394 |
Total Submitted Charge Amount |
2333129.47 |
Total Medicare Allowed Amount |
940641.99 |
Total Medicare Payment Amount |
704984.73 |
Total Medicare Standardized Payment Amount |
709468.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
3532 |
Number Of Medicare Beneficiaries With Drug Services |
903 |
Total Drug Submitted ChargeAmount |
640803.32 |
Total Drug Medicare AllowedAmount |
275268.33 |
Total Drug Medicare PaymentAmount |
212288.44 |
Total Drug Medicare Standardized Payment Amount |
212288.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
9847 |
Number Of Medicare Beneficiaries With Medical Services |
1394 |
Total Medical Submitted Charge Amount |
1692326.15 |
Total Medical Medicare Allowed Amount |
665373.66 |
Total Medical Medicare Payment Amount |
492696.29 |
Total Medical Medicare Standardized Payment Amount |
497180.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
642 |
Number Of Beneficiaries Age 75 to 84 |
512 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
832 |
Number Of Male Beneficiaries |
562 |
Number Of Non Hispanic White Beneficiaries |
1308 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0864 |