National Provider Identifier [NPI]: |
1083898449 |
Last Name Of The Provider |
VORA |
First Name Of The Provider |
AADITYA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2735 UNIVERSITY BLVD S |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322162548 |
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 |
102 |
Number Of Services |
2955 |
Number Of Medicare Beneficiaries |
689 |
Total Submitted Charge Amount |
688847 |
Total Medicare Allowed Amount |
344183.76 |
Total Medicare Payment Amount |
261256.77 |
Total Medicare Standardized Payment Amount |
264480.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
4400 |
Total Drug Medicare AllowedAmount |
2335.62 |
Total Drug Medicare PaymentAmount |
1831.11 |
Total Drug Medicare Standardized Payment Amount |
1831.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
2911 |
Number Of Medicare Beneficiaries With Medical Services |
689 |
Total Medical Submitted Charge Amount |
684447 |
Total Medical Medicare Allowed Amount |
341848.14 |
Total Medical Medicare Payment Amount |
259425.66 |
Total Medical Medicare Standardized Payment Amount |
262649.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
299 |
Number Of Non Hispanic White Beneficiaries |
516 |
Number Of Black or African American Beneficiaries |
123 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
553 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2142 |