National Provider Identifier [NPI]: |
1801892401 |
Last Name Of The Provider |
TAFUR |
First Name Of The Provider |
ANGEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1503 BUENOS AIRES BLVD |
Street Address 2 Of The Provider |
BUILDING106 |
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321596821 |
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 |
60 |
Number Of Services |
10335 |
Number Of Medicare Beneficiaries |
1449 |
Total Submitted Charge Amount |
943265.63 |
Total Medicare Allowed Amount |
731354.02 |
Total Medicare Payment Amount |
530006.08 |
Total Medicare Standardized Payment Amount |
539939.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
749 |
Number Of Medicare Beneficiaries With Drug Services |
448 |
Total Drug Submitted ChargeAmount |
20123 |
Total Drug Medicare AllowedAmount |
13670.5 |
Total Drug Medicare PaymentAmount |
12964.96 |
Total Drug Medicare Standardized Payment Amount |
12964.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
9586 |
Number Of Medicare Beneficiaries With Medical Services |
1449 |
Total Medical Submitted Charge Amount |
923142.63 |
Total Medical Medicare Allowed Amount |
717683.52 |
Total Medical Medicare Payment Amount |
517041.12 |
Total Medical Medicare Standardized Payment Amount |
526974.51 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
655 |
Number Of Beneficiaries Age 75 to 84 |
547 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
769 |
Number Of Male Beneficiaries |
680 |
Number Of Non Hispanic White Beneficiaries |
1375 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1417 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1404 |