National Provider Identifier [NPI]: |
1215939509 |
Last Name Of The Provider |
OCHOA |
First Name Of The Provider |
ALUINO |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3300 DAIRY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TITUSVILLE |
Zip Code Of The Provider |
327961512 |
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 |
89 |
Number Of Services |
6923 |
Number Of Medicare Beneficiaries |
1261 |
Total Submitted Charge Amount |
955227.33 |
Total Medicare Allowed Amount |
653644.64 |
Total Medicare Payment Amount |
494206.85 |
Total Medicare Standardized Payment Amount |
504267.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
3078.54 |
Total Drug Medicare AllowedAmount |
506.32 |
Total Drug Medicare PaymentAmount |
434.64 |
Total Drug Medicare Standardized Payment Amount |
434.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
6735 |
Number Of Medicare Beneficiaries With Medical Services |
1261 |
Total Medical Submitted Charge Amount |
952148.79 |
Total Medical Medicare Allowed Amount |
653138.32 |
Total Medical Medicare Payment Amount |
493772.21 |
Total Medical Medicare Standardized Payment Amount |
503832.71 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
402 |
Number Of Beneficiaries Age 75 to 84 |
401 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
613 |
Number Of Male Beneficiaries |
648 |
Number Of Non Hispanic White Beneficiaries |
1117 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
921 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
340 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9876 |