Medicare Facts for Dr. Susan Samlaska, MD


National Provider Identifier [NPI]: 1548291172
Last Name Of The Provider SAMLASKA
First Name Of The Provider SUSAN
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 603 7TH ST S
Street Address 2 Of The Provider STE 340
City Of The Provider ST PETERSBURG
Zip Code Of The Provider 337014719
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Interventional Pain Management
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 783
Number Of Medicare Beneficiaries 63
Total Submitted Charge Amount 131989
Total Medicare Allowed Amount 38662.3
Total Medicare Payment Amount 28250.2
Total Medicare Standardized Payment Amount 29016.7
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 310
Number Of Medicare Beneficiaries With Drug Services 26
Total Drug Submitted ChargeAmount 4925
Total Drug Medicare AllowedAmount 523.85
Total Drug Medicare PaymentAmount 379.93
Total Drug Medicare Standardized Payment Amount 379.93
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 27
Number Of Medical Services 473
Number Of Medicare Beneficiaries With Medical Services 63
Total Medical Submitted Charge Amount 127064
Total Medical Medicare Allowed Amount 38138.45
Total Medical Medicare Payment Amount 27870.27
Total Medical Medicare Standardized Payment Amount 28636.77
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 25
Number Of Beneficiaries Age 65 to 74 21
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 41
Number Of Male Beneficiaries 22
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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
Number Of Beneficiaries With Medicare Only Entitlement 47
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 46
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 19
Percent Of With Rheumatoid Arthritis Osteoarthritis 70
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.6141

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