National Provider Identifier [NPI]: |
1801883939 |
Last Name Of The Provider |
ZLOBL |
First Name Of The Provider |
TRACYE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 8TH ST S |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341026107 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3148 |
Number Of Medicare Beneficiaries |
709 |
Total Submitted Charge Amount |
315985 |
Total Medicare Allowed Amount |
176572.59 |
Total Medicare Payment Amount |
132739.54 |
Total Medicare Standardized Payment Amount |
126703.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
2345 |
Total Drug Medicare AllowedAmount |
686.95 |
Total Drug Medicare PaymentAmount |
466.02 |
Total Drug Medicare Standardized Payment Amount |
466.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3048 |
Number Of Medicare Beneficiaries With Medical Services |
709 |
Total Medical Submitted Charge Amount |
313640 |
Total Medical Medicare Allowed Amount |
175885.64 |
Total Medical Medicare Payment Amount |
132273.52 |
Total Medical Medicare Standardized Payment Amount |
126237.96 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
481 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
709 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
684 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
693 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7132 |