National Provider Identifier [NPI]: |
1841292380 |
Last Name Of The Provider |
CLASS |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 ARLINGTON ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342393513 |
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 |
97 |
Number Of Services |
5590 |
Number Of Medicare Beneficiaries |
1410 |
Total Submitted Charge Amount |
1388517.26 |
Total Medicare Allowed Amount |
679640.52 |
Total Medicare Payment Amount |
517762.95 |
Total Medicare Standardized Payment Amount |
520244 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
580 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
7218 |
Total Drug Medicare AllowedAmount |
2768.37 |
Total Drug Medicare PaymentAmount |
2170.12 |
Total Drug Medicare Standardized Payment Amount |
2170.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
5010 |
Number Of Medicare Beneficiaries With Medical Services |
1410 |
Total Medical Submitted Charge Amount |
1381299.26 |
Total Medical Medicare Allowed Amount |
676872.15 |
Total Medical Medicare Payment Amount |
515592.83 |
Total Medical Medicare Standardized Payment Amount |
518073.88 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
510 |
Number Of Beneficiaries Age 75 to 84 |
543 |
Number Of Beneficiaries Age Greater 84 |
293 |
Number Of Female Beneficiaries |
597 |
Number Of Male Beneficiaries |
813 |
Number Of Non Hispanic White Beneficiaries |
1322 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1287 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4582 |