National Provider Identifier [NPI]: |
1396795662 |
Last Name Of The Provider |
FARINAS |
First Name Of The Provider |
ALFREDO |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
271 NW FAIRWAY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE CITY |
Zip Code Of The Provider |
320558685 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
5359 |
Number Of Medicare Beneficiaries |
938 |
Total Submitted Charge Amount |
884459 |
Total Medicare Allowed Amount |
513809.04 |
Total Medicare Payment Amount |
395222.4 |
Total Medicare Standardized Payment Amount |
392942.83 |
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 |
25 |
Number Of Medical Services |
5359 |
Number Of Medicare Beneficiaries With Medical Services |
938 |
Total Medical Submitted Charge Amount |
884459 |
Total Medical Medicare Allowed Amount |
513809.04 |
Total Medical Medicare Payment Amount |
395222.4 |
Total Medical Medicare Standardized Payment Amount |
392942.83 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
368 |
Number Of Female Beneficiaries |
512 |
Number Of Male Beneficiaries |
426 |
Number Of Non Hispanic White Beneficiaries |
900 |
Number Of Black or African American Beneficiaries |
20 |
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 |
760 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
44 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0897 |