National Provider Identifier [NPI]: |
1821065194 |
Last Name Of The Provider |
HADZIC |
First Name Of The Provider |
AMRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2377 DUNN AVE |
Street Address 2 Of The Provider |
UFJP DUNN AVENUE FAMILY PRACTICE |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322186983 |
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 |
45 |
Number Of Services |
1746 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
214181.5 |
Total Medicare Allowed Amount |
112523.89 |
Total Medicare Payment Amount |
78566.84 |
Total Medicare Standardized Payment Amount |
79928.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
218 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
5725 |
Total Drug Medicare AllowedAmount |
2259.48 |
Total Drug Medicare PaymentAmount |
2145.31 |
Total Drug Medicare Standardized Payment Amount |
2145.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1528 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
208456.5 |
Total Medical Medicare Allowed Amount |
110264.41 |
Total Medical Medicare Payment Amount |
76421.53 |
Total Medical Medicare Standardized Payment Amount |
77783.15 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
269 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
202 |
Number Of Black or African American Beneficiaries |
167 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
203 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3347 |