National Provider Identifier [NPI]: |
1871550483 |
Last Name Of The Provider |
ATIGRE |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14499 N DALE MABRY HWY |
Street Address 2 Of The Provider |
SUITE 180 S |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336182078 |
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 |
40 |
Number Of Services |
13069 |
Number Of Medicare Beneficiaries |
1224 |
Total Submitted Charge Amount |
1594936.63 |
Total Medicare Allowed Amount |
1079199.62 |
Total Medicare Payment Amount |
832405.11 |
Total Medicare Standardized Payment Amount |
845711.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
779.76 |
Total Drug Medicare AllowedAmount |
390.06 |
Total Drug Medicare PaymentAmount |
382.32 |
Total Drug Medicare Standardized Payment Amount |
382.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
13051 |
Number Of Medicare Beneficiaries With Medical Services |
1224 |
Total Medical Submitted Charge Amount |
1594156.87 |
Total Medical Medicare Allowed Amount |
1078809.56 |
Total Medical Medicare Payment Amount |
832022.79 |
Total Medical Medicare Standardized Payment Amount |
845329.51 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
412 |
Number Of Female Beneficiaries |
768 |
Number Of Male Beneficiaries |
456 |
Number Of Non Hispanic White Beneficiaries |
766 |
Number Of Black or African American Beneficiaries |
174 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
262 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
736 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
69 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
62 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.9922 |