National Provider Identifier [NPI]: |
1295731396 |
Last Name Of The Provider |
SILVERMAN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1921 WALDEMERE ST |
Street Address 2 Of The Provider |
SUITE 504 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342392943 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
176 |
Number Of Services |
15573 |
Number Of Medicare Beneficiaries |
1323 |
Total Submitted Charge Amount |
2836395.52 |
Total Medicare Allowed Amount |
1188797.49 |
Total Medicare Payment Amount |
908493.75 |
Total Medicare Standardized Payment Amount |
911934.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
8800 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
2992 |
Total Drug Medicare AllowedAmount |
1652.8 |
Total Drug Medicare PaymentAmount |
1272.71 |
Total Drug Medicare Standardized Payment Amount |
1272.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
6773 |
Number Of Medicare Beneficiaries With Medical Services |
1323 |
Total Medical Submitted Charge Amount |
2833403.52 |
Total Medical Medicare Allowed Amount |
1187144.69 |
Total Medical Medicare Payment Amount |
907221.04 |
Total Medical Medicare Standardized Payment Amount |
910662.1 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
435 |
Number Of Beneficiaries Age 75 to 84 |
517 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
615 |
Number Of Male Beneficiaries |
708 |
Number Of Non Hispanic White Beneficiaries |
1218 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1172 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6861 |