National Provider Identifier [NPI]: |
1982653226 |
Last Name Of The Provider |
VOLLBRACHT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
430 MORTON PLANT ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563398 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
55654 |
Number Of Medicare Beneficiaries |
249 |
Total Submitted Charge Amount |
706532.5 |
Total Medicare Allowed Amount |
467059.52 |
Total Medicare Payment Amount |
352020.36 |
Total Medicare Standardized Payment Amount |
349234.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
54153 |
Number Of Medicare Beneficiaries With Drug Services |
171 |
Total Drug Submitted ChargeAmount |
374515.5 |
Total Drug Medicare AllowedAmount |
295445.09 |
Total Drug Medicare PaymentAmount |
225580.37 |
Total Drug Medicare Standardized Payment Amount |
225580.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1501 |
Number Of Medicare Beneficiaries With Medical Services |
249 |
Total Medical Submitted Charge Amount |
332017 |
Total Medical Medicare Allowed Amount |
171614.43 |
Total Medical Medicare Payment Amount |
126439.99 |
Total Medical Medicare Standardized Payment Amount |
123653.93 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
52 |
Number Of Non Hispanic White Beneficiaries |
231 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1861 |