National Provider Identifier [NPI]: |
1356361158 |
Last Name Of The Provider |
PALUMBO |
First Name Of The Provider |
REMIGIO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 W WATERS AVE |
Street Address 2 Of The Provider |
STE# B |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336141866 |
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 |
37 |
Number Of Services |
3691 |
Number Of Medicare Beneficiaries |
1129 |
Total Submitted Charge Amount |
411403 |
Total Medicare Allowed Amount |
237165.17 |
Total Medicare Payment Amount |
178553.43 |
Total Medicare Standardized Payment Amount |
179612.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
108 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
3200 |
Total Drug Medicare AllowedAmount |
2453.93 |
Total Drug Medicare PaymentAmount |
2404.68 |
Total Drug Medicare Standardized Payment Amount |
2404.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3583 |
Number Of Medicare Beneficiaries With Medical Services |
1129 |
Total Medical Submitted Charge Amount |
408203 |
Total Medical Medicare Allowed Amount |
234711.24 |
Total Medical Medicare Payment Amount |
176148.75 |
Total Medical Medicare Standardized Payment Amount |
177207.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
371 |
Number Of Beneficiaries Age Greater 84 |
256 |
Number Of Female Beneficiaries |
584 |
Number Of Male Beneficiaries |
545 |
Number Of Non Hispanic White Beneficiaries |
663 |
Number Of Black or African American Beneficiaries |
159 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
283 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
699 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
430 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.059 |