National Provider Identifier [NPI]: |
1376505362 |
Last Name Of The Provider |
KOVACH |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
455 PINELLAS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563367 |
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 |
56 |
Number Of Services |
7394 |
Number Of Medicare Beneficiaries |
2662 |
Total Submitted Charge Amount |
1808197.64 |
Total Medicare Allowed Amount |
632664.05 |
Total Medicare Payment Amount |
481634.9 |
Total Medicare Standardized Payment Amount |
486135.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
546 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
74836.32 |
Total Drug Medicare AllowedAmount |
28602.12 |
Total Drug Medicare PaymentAmount |
22032.73 |
Total Drug Medicare Standardized Payment Amount |
22032.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6848 |
Number Of Medicare Beneficiaries With Medical Services |
2662 |
Total Medical Submitted Charge Amount |
1733361.32 |
Total Medical Medicare Allowed Amount |
604061.93 |
Total Medical Medicare Payment Amount |
459602.17 |
Total Medical Medicare Standardized Payment Amount |
464102.37 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
302 |
Number Of Beneficiaries Age 65 to 74 |
775 |
Number Of Beneficiaries Age 75 to 84 |
872 |
Number Of Beneficiaries Age Greater 84 |
713 |
Number Of Female Beneficiaries |
1457 |
Number Of Male Beneficiaries |
1205 |
Number Of Non Hispanic White Beneficiaries |
2437 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
554 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0517 |