National Provider Identifier [NPI]: |
1225076094 |
Last Name Of The Provider |
WHITE |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6050 CATTLERIDGE BLVD STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326028 |
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 |
79 |
Number Of Services |
8469 |
Number Of Medicare Beneficiaries |
1012 |
Total Submitted Charge Amount |
1735339.14 |
Total Medicare Allowed Amount |
661542.85 |
Total Medicare Payment Amount |
497138.48 |
Total Medicare Standardized Payment Amount |
477396.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1523 |
Number Of Medicare Beneficiaries With Drug Services |
256 |
Total Drug Submitted ChargeAmount |
29117 |
Total Drug Medicare AllowedAmount |
15481.05 |
Total Drug Medicare PaymentAmount |
12002.95 |
Total Drug Medicare Standardized Payment Amount |
12002.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
6946 |
Number Of Medicare Beneficiaries With Medical Services |
1012 |
Total Medical Submitted Charge Amount |
1706222.14 |
Total Medical Medicare Allowed Amount |
646061.8 |
Total Medical Medicare Payment Amount |
485135.53 |
Total Medical Medicare Standardized Payment Amount |
465393.87 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
388 |
Number Of Beneficiaries Age 75 to 84 |
394 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
605 |
Number Of Male Beneficiaries |
407 |
Number Of Non Hispanic White Beneficiaries |
968 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0173 |