National Provider Identifier [NPI]: |
1669446613 |
Last Name Of The Provider |
SARANITA |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1381 CITRUS TOWER BLVD |
Street Address 2 Of The Provider |
STE 103 |
City Of The Provider |
CLERMONT |
Zip Code Of The Provider |
347111957 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
4862 |
Number Of Medicare Beneficiaries |
789 |
Total Submitted Charge Amount |
566990 |
Total Medicare Allowed Amount |
301833.73 |
Total Medicare Payment Amount |
218350.87 |
Total Medicare Standardized Payment Amount |
224256.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
122 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
1220 |
Total Drug Medicare AllowedAmount |
371.02 |
Total Drug Medicare PaymentAmount |
280.16 |
Total Drug Medicare Standardized Payment Amount |
280.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
4740 |
Number Of Medicare Beneficiaries With Medical Services |
789 |
Total Medical Submitted Charge Amount |
565770 |
Total Medical Medicare Allowed Amount |
301462.71 |
Total Medical Medicare Payment Amount |
218070.71 |
Total Medical Medicare Standardized Payment Amount |
223976.63 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
255 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
457 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
643 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
74 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
715 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4737 |