National Provider Identifier [NPI]: |
1487861498 |
Last Name Of The Provider |
RODRIGO |
First Name Of The Provider |
RODNEY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4071 BEE RIDGE RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342332542 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
7157 |
Number Of Medicare Beneficiaries |
313 |
Total Submitted Charge Amount |
717701 |
Total Medicare Allowed Amount |
322604.54 |
Total Medicare Payment Amount |
242460.4 |
Total Medicare Standardized Payment Amount |
231788.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
4489 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
60160 |
Total Drug Medicare AllowedAmount |
28712.68 |
Total Drug Medicare PaymentAmount |
21636.79 |
Total Drug Medicare Standardized Payment Amount |
21636.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
2668 |
Number Of Medicare Beneficiaries With Medical Services |
313 |
Total Medical Submitted Charge Amount |
657541 |
Total Medical Medicare Allowed Amount |
293891.86 |
Total Medical Medicare Payment Amount |
220823.61 |
Total Medical Medicare Standardized Payment Amount |
210152.01 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
297 |
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 |
280 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4099 |