National Provider Identifier [NPI]: |
1194707596 |
Last Name Of The Provider |
SAPORITO |
First Name Of The Provider |
LEAH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10131 W. FOREST HILL BLVD |
Street Address 2 Of The Provider |
STE 206 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
33414 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
1224 |
Number Of Medicare Beneficiaries |
167 |
Total Submitted Charge Amount |
402134 |
Total Medicare Allowed Amount |
62955.71 |
Total Medicare Payment Amount |
47368.97 |
Total Medicare Standardized Payment Amount |
51939.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
276 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
40016 |
Total Drug Medicare AllowedAmount |
10480 |
Total Drug Medicare PaymentAmount |
8108.82 |
Total Drug Medicare Standardized Payment Amount |
8108.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
948 |
Number Of Medicare Beneficiaries With Medical Services |
167 |
Total Medical Submitted Charge Amount |
362118 |
Total Medical Medicare Allowed Amount |
52475.71 |
Total Medical Medicare Payment Amount |
39260.15 |
Total Medical Medicare Standardized Payment Amount |
43831.07 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
76 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
102 |
Number Of Male Beneficiaries |
65 |
Number Of Non Hispanic White Beneficiaries |
144 |
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 |
148 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1366 |