National Provider Identifier [NPI]: |
1275728586 |
Last Name Of The Provider |
IRBY |
First Name Of The Provider |
RACHEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4729 N HABANA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336147113 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
256297 |
Number Of Medicare Beneficiaries |
893 |
Total Submitted Charge Amount |
898338.5 |
Total Medicare Allowed Amount |
494778.72 |
Total Medicare Payment Amount |
385817.96 |
Total Medicare Standardized Payment Amount |
385916.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
252436 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
244329.5 |
Total Drug Medicare AllowedAmount |
201969.15 |
Total Drug Medicare PaymentAmount |
158397.29 |
Total Drug Medicare Standardized Payment Amount |
158397.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
3861 |
Number Of Medicare Beneficiaries With Medical Services |
893 |
Total Medical Submitted Charge Amount |
654009 |
Total Medical Medicare Allowed Amount |
292809.57 |
Total Medical Medicare Payment Amount |
227420.67 |
Total Medical Medicare Standardized Payment Amount |
227518.98 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
260 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
437 |
Number Of Non Hispanic White Beneficiaries |
581 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
139 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
497 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
396 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
69 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.3842 |