National Provider Identifier [NPI]: |
1821024829 |
Last Name Of The Provider |
GITTLEMAN |
First Name Of The Provider |
ADAM |
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 |
5301 S CONGRESS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTIS |
Zip Code Of The Provider |
334621149 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
217 |
Number Of Services |
12490 |
Number Of Medicare Beneficiaries |
4167 |
Total Submitted Charge Amount |
1787923.21 |
Total Medicare Allowed Amount |
374922.79 |
Total Medicare Payment Amount |
289291.73 |
Total Medicare Standardized Payment Amount |
279395.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5732 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
11133 |
Total Drug Medicare AllowedAmount |
2705.99 |
Total Drug Medicare PaymentAmount |
2098.23 |
Total Drug Medicare Standardized Payment Amount |
2098.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
212 |
Number Of Medical Services |
6758 |
Number Of Medicare Beneficiaries With Medical Services |
4165 |
Total Medical Submitted Charge Amount |
1776790.21 |
Total Medical Medicare Allowed Amount |
372216.8 |
Total Medical Medicare Payment Amount |
287193.5 |
Total Medical Medicare Standardized Payment Amount |
277297.38 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
520 |
Number Of Beneficiaries Age 65 to 74 |
1101 |
Number Of Beneficiaries Age 75 to 84 |
1386 |
Number Of Beneficiaries Age Greater 84 |
1160 |
Number Of Female Beneficiaries |
2482 |
Number Of Male Beneficiaries |
1685 |
Number Of Non Hispanic White Beneficiaries |
3397 |
Number Of Black or African American Beneficiaries |
305 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
375 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
3171 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
996 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9408 |