National Provider Identifier [NPI]: |
1659352953 |
Last Name Of The Provider |
MARTINEZ |
First Name Of The Provider |
ALEJANDRO |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1255 VISCAYA PKWY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CAPE CORAL |
Zip Code Of The Provider |
339903290 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
195 |
Number Of Services |
14141 |
Number Of Medicare Beneficiaries |
956 |
Total Submitted Charge Amount |
827562.5 |
Total Medicare Allowed Amount |
422802.1 |
Total Medicare Payment Amount |
316681.06 |
Total Medicare Standardized Payment Amount |
308992.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
2787 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
31844.5 |
Total Drug Medicare AllowedAmount |
12548.32 |
Total Drug Medicare PaymentAmount |
10782.82 |
Total Drug Medicare Standardized Payment Amount |
10782.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
182 |
Number Of Medical Services |
11354 |
Number Of Medicare Beneficiaries With Medical Services |
956 |
Total Medical Submitted Charge Amount |
795718 |
Total Medical Medicare Allowed Amount |
410253.78 |
Total Medical Medicare Payment Amount |
305898.24 |
Total Medical Medicare Standardized Payment Amount |
298209.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
428 |
Number Of Beneficiaries Age 75 to 84 |
288 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
546 |
Number Of Male Beneficiaries |
410 |
Number Of Non Hispanic White Beneficiaries |
787 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
138 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
818 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9947 |