National Provider Identifier [NPI]: |
1790712933 |
Last Name Of The Provider |
SZWED |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
425 N LEE ST |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322041128 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2766 |
Number Of Medicare Beneficiaries |
1107 |
Total Submitted Charge Amount |
912393 |
Total Medicare Allowed Amount |
283736.41 |
Total Medicare Payment Amount |
213307.25 |
Total Medicare Standardized Payment Amount |
214146.32 |
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 |
38 |
Number Of Medical Services |
2766 |
Number Of Medicare Beneficiaries With Medical Services |
1107 |
Total Medical Submitted Charge Amount |
912393 |
Total Medical Medicare Allowed Amount |
283736.41 |
Total Medical Medicare Payment Amount |
213307.25 |
Total Medical Medicare Standardized Payment Amount |
214146.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
177 |
Number Of Beneficiaries Age 65 to 74 |
413 |
Number Of Beneficiaries Age 75 to 84 |
359 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
590 |
Number Of Male Beneficiaries |
517 |
Number Of Non Hispanic White Beneficiaries |
854 |
Number Of Black or African American Beneficiaries |
200 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
830 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
277 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
57 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.3315 |