National Provider Identifier [NPI]: |
1932101334 |
Last Name Of The Provider |
GOEL |
First Name Of The Provider |
SATISH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7011 A C SKINNER PKWY |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322566954 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
3730 |
Number Of Medicare Beneficiaries |
1632 |
Total Submitted Charge Amount |
748724 |
Total Medicare Allowed Amount |
380489.78 |
Total Medicare Payment Amount |
291177.35 |
Total Medicare Standardized Payment Amount |
295394.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
3730 |
Number Of Medicare Beneficiaries With Medical Services |
1632 |
Total Medical Submitted Charge Amount |
748724 |
Total Medical Medicare Allowed Amount |
380489.78 |
Total Medical Medicare Payment Amount |
291177.35 |
Total Medical Medicare Standardized Payment Amount |
295394.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
287 |
Number Of Beneficiaries Age 65 to 74 |
605 |
Number Of Beneficiaries Age 75 to 84 |
490 |
Number Of Beneficiaries Age Greater 84 |
250 |
Number Of Female Beneficiaries |
888 |
Number Of Male Beneficiaries |
744 |
Number Of Non Hispanic White Beneficiaries |
1244 |
Number Of Black or African American Beneficiaries |
241 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1171 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
461 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9546 |