Medicare Facts for Michael L. Sullivan, PA


National Provider Identifier [NPI]: 1740205863
Last Name Of The Provider SULLIVAN
First Name Of The Provider MICHAEL
Middle Initial Of The Provider L
Credentials Of The Provider PA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1540 S TAMIAMI TRL
Street Address 2 Of The Provider SUITE 303
City Of The Provider SARASOTA
Zip Code Of The Provider 342392930
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 51
Number Of Services 285
Number Of Medicare Beneficiaries 113
Total Submitted Charge Amount 247409.8
Total Medicare Allowed Amount 48053.38
Total Medicare Payment Amount 37423.03
Total Medicare Standardized Payment Amount 35562.57
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 51
Number Of Medical Services 285
Number Of Medicare Beneficiaries With Medical Services 113
Total Medical Submitted Charge Amount 247409.8
Total Medical Medicare Allowed Amount 48053.38
Total Medical Medicare Payment Amount 37423.03
Total Medical Medicare Standardized Payment Amount 35562.57
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 51
Number Of Beneficiaries Age 75 to 84 46
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 33
Number Of Male Beneficiaries 80
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 50
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma
Percent Of With Cancer 27
Percent Of With Heart Failure 52
Percent Of With Chronic Kidney Disease 48
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 26
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.4146

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