National Provider Identifier [NPI]: |
1003837832 |
Last Name Of The Provider |
CAMBIO |
First Name Of The Provider |
ANDREA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
316 DEL PRADO BLVD S STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CAPE CORAL |
Zip Code Of The Provider |
339901728 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
21583 |
Number Of Medicare Beneficiaries |
2643 |
Total Submitted Charge Amount |
2533694 |
Total Medicare Allowed Amount |
1328563.09 |
Total Medicare Payment Amount |
983032.92 |
Total Medicare Standardized Payment Amount |
901180.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
92 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
6471 |
Total Drug Medicare AllowedAmount |
5209.62 |
Total Drug Medicare PaymentAmount |
3835.32 |
Total Drug Medicare Standardized Payment Amount |
3835.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
21491 |
Number Of Medicare Beneficiaries With Medical Services |
2643 |
Total Medical Submitted Charge Amount |
2527223 |
Total Medical Medicare Allowed Amount |
1323353.47 |
Total Medical Medicare Payment Amount |
979197.6 |
Total Medical Medicare Standardized Payment Amount |
897345.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
1455 |
Number Of Beneficiaries Age 75 to 84 |
711 |
Number Of Beneficiaries Age Greater 84 |
259 |
Number Of Female Beneficiaries |
1395 |
Number Of Male Beneficiaries |
1248 |
Number Of Non Hispanic White Beneficiaries |
2463 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
115 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
2346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9521 |