National Provider Identifier [NPI]: |
1972550812 |
Last Name Of The Provider |
ANCAYA |
First Name Of The Provider |
FRANCISCO |
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 |
1611 STATE ROAD 60 E |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE WALES |
Zip Code Of The Provider |
338534309 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2201 |
Number Of Medicare Beneficiaries |
349 |
Total Submitted Charge Amount |
265408 |
Total Medicare Allowed Amount |
217447.54 |
Total Medicare Payment Amount |
154794.52 |
Total Medicare Standardized Payment Amount |
156352.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
775 |
Total Drug Medicare AllowedAmount |
437.15 |
Total Drug Medicare PaymentAmount |
402.04 |
Total Drug Medicare Standardized Payment Amount |
402.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2118 |
Number Of Medicare Beneficiaries With Medical Services |
349 |
Total Medical Submitted Charge Amount |
264633 |
Total Medical Medicare Allowed Amount |
217010.39 |
Total Medical Medicare Payment Amount |
154392.48 |
Total Medical Medicare Standardized Payment Amount |
155950.16 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
164 |
Number Of Non Hispanic White Beneficiaries |
298 |
Number Of Black or African American Beneficiaries |
24 |
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 |
277 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1039 |