National Provider Identifier [NPI]: |
1649256256 |
Last Name Of The Provider |
ZABINSKI |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1405 PINE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329013118 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
9606 |
Number Of Medicare Beneficiaries |
1337 |
Total Submitted Charge Amount |
1103754 |
Total Medicare Allowed Amount |
503678 |
Total Medicare Payment Amount |
386475.67 |
Total Medicare Standardized Payment Amount |
386090.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1654 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
177017 |
Total Drug Medicare AllowedAmount |
88472.98 |
Total Drug Medicare PaymentAmount |
69144.59 |
Total Drug Medicare Standardized Payment Amount |
69144.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
7952 |
Number Of Medicare Beneficiaries With Medical Services |
1337 |
Total Medical Submitted Charge Amount |
926737 |
Total Medical Medicare Allowed Amount |
415205.02 |
Total Medical Medicare Payment Amount |
317331.08 |
Total Medical Medicare Standardized Payment Amount |
316946.06 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
484 |
Number Of Beneficiaries Age 75 to 84 |
546 |
Number Of Beneficiaries Age Greater 84 |
251 |
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
1101 |
Number Of Non Hispanic White Beneficiaries |
1236 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2727 |