National Provider Identifier [NPI]: |
1922071851 |
Last Name Of The Provider |
SHVARTZMAN |
First Name Of The Provider |
ARLETTE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
655 W 8TH ST |
Street Address 2 Of The Provider |
UFJP RADIOLOGY |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322096511 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
7015 |
Number Of Medicare Beneficiaries |
3616 |
Total Submitted Charge Amount |
585699.95 |
Total Medicare Allowed Amount |
219273.92 |
Total Medicare Payment Amount |
162786.32 |
Total Medicare Standardized Payment Amount |
156628.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1190 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
529.2 |
Total Drug Medicare AllowedAmount |
473.6 |
Total Drug Medicare PaymentAmount |
371.3 |
Total Drug Medicare Standardized Payment Amount |
371.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
5825 |
Number Of Medicare Beneficiaries With Medical Services |
3616 |
Total Medical Submitted Charge Amount |
585170.75 |
Total Medical Medicare Allowed Amount |
218800.32 |
Total Medical Medicare Payment Amount |
162415.02 |
Total Medical Medicare Standardized Payment Amount |
156257.15 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
770 |
Number Of Beneficiaries Age 65 to 74 |
1012 |
Number Of Beneficiaries Age 75 to 84 |
1032 |
Number Of Beneficiaries Age Greater 84 |
802 |
Number Of Female Beneficiaries |
2145 |
Number Of Male Beneficiaries |
1471 |
Number Of Non Hispanic White Beneficiaries |
2867 |
Number Of Black or African American Beneficiaries |
364 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
308 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
2230 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1386 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
19 |
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 |
39 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.026 |