National Provider Identifier [NPI]: |
1134157498 |
Last Name Of The Provider |
CASOLA |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2531 CLEVELAND AVE |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339014900 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
202 |
Number Of Services |
4245 |
Number Of Medicare Beneficiaries |
611 |
Total Submitted Charge Amount |
1894144.4 |
Total Medicare Allowed Amount |
757651.78 |
Total Medicare Payment Amount |
591298.34 |
Total Medicare Standardized Payment Amount |
547966.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
54 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
310 |
Total Drug Medicare AllowedAmount |
12.68 |
Total Drug Medicare PaymentAmount |
10.04 |
Total Drug Medicare Standardized Payment Amount |
10.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
200 |
Number Of Medical Services |
4191 |
Number Of Medicare Beneficiaries With Medical Services |
611 |
Total Medical Submitted Charge Amount |
1893834.4 |
Total Medical Medicare Allowed Amount |
757639.1 |
Total Medical Medicare Payment Amount |
591288.3 |
Total Medical Medicare Standardized Payment Amount |
547956.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
528 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
3.1124 |